Active NPI
Maria Isabel Martinez, PHARMD
- Pharmacist
- Pinole, CA
National Provider Identifier
1316234008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63074
- Practice address
- 1400 Fitzgerald Dr
T-0737
Pinole, CA 94564-2250 - Phone
- (510) 222-9281
- Fax
- (510) 222-9281
- NPI assigned
- Jul 1, 2011
- Last updated
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63074 | CA | Primary |
Addresses
Primary practice location
1400 Fitzgerald Dr
T-0737
Pinole, CA 94564-2250
Mailing address
1400 Fitzgerald Dr
T-0737
Pinole, CA 94564-2250
Phone (510) 222-9281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63074 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1316234008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FITZGERALD DR",
"address_2": "T-0737",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642250",
"telephone_number": "510-222-9281",
"fax_number": "510-222-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FITZGERALD DR",
"address_2": "T-0737",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642250",
"telephone_number": "510-222-9281",
"fax_number": "510-222-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARIA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.