Individual provider Active NPI

Mary Claire Ortiz, PHARM D

  • Pharmacist
  • Lexington, KY
National Provider Identifier
1356627343
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
015384 Issued in KY
Practice address
3692 Polo Club Blvd
Lexington, KY 40509-8565
Phone
(901) 299-2478
NPI assigned
Oct 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015384 KY Primary
Pharmacist 183500000X 034232 TN

Addresses

Primary practice location

3692 Polo Club Blvd
Lexington, KY 40509-8565

Mailing address

3692 Polo Club Blvd
Lexington, KY 40509-8565
Phone (901) 299-2478

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

LicenseStateTypeSpecialty
015384KYMDPharmacist
034232TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1356627343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 POLO CLUB BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098565",
            "telephone_number": "901-299-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 POLO CLUB BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098565",
            "telephone_number": "901-299-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015384",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "034232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.