Organization Active NPI

Carlos G Martinez

  • Community/Retail Pharmacy
  • Porterville, CA
National Provider Identifier
1356486344
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28097 Issued in CA
Legal business name
CARLOS G MARTINEZ
Doing business as
Warnack Pharmacy
Practice address
434 S Plano St
Porterville, CA 93257-5416
Phone
(559) 784-0654
Fax
(559) 784-4712
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carlos G Martinez, DBA
Title
Owner
Phone
(559) 784-0654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28097 CA Primary

Addresses

Primary practice location

434 S Plano St
Porterville, CA 93257-5416

Mailing address

434 S Plano St
Porterville, CA 93257-5416
Phone (559) 784-0654

Other identifiers 1

IdentifierTypeStateIssuer
PHA367050MedicaidCA

Other names 1

  • Warnack Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

434 S Plano St
Porterville, CA 93257
Phone (559) 784-0654

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1356486344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S PLANO ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932575416",
            "telephone_number": "559-784-0654",
            "fax_number": "559-784-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S PLANO ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932575416",
            "telephone_number": "559-784-0654",
            "fax_number": "559-784-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS G MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-784-0654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "28097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA367050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warnack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.