Active NPI
Jennifer Ann Martineau, RPH
- Pharmacist
- Scottsdale, AZ
National Provider Identifier
1346791555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023404
- Practice address
- 6200 N Scottsdale Rd
Scottsdale, AZ 85253 - Phone
- (480) 822-6197
- NPI assigned
- Oct 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 | S023404 | AZ | Primary |
Addresses
Primary practice location
6200 N Scottsdale Rd
Scottsdale, AZ 85253
Mailing address
1031 N Hwy 89
Chino Valley, AZ 86323-5978
Phone (928) 636-8358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S023404 | Other | AZ | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023404 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1346791555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 N HWY 89",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863235978",
"telephone_number": "928-636-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85253",
"telephone_number": "480-822-6197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEAU",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-23",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "S023404",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.