Individual provider Active NPI

Justine Flores Martinez, PHARM.D.

  • Pharmacist
  • Port Saint Lucie, FL
National Provider Identifier
1356884282
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54375 Issued in FL
Practice address
5473 NW Saint James Dr
Port Saint Lucie, FL 34983-3444
Phone
(772) 878-1526
NPI assigned
Nov 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS54375 FL Primary
Pharmacist 183500000X 16824-40 WI

Addresses

Primary practice location

5473 NW Saint James Dr
Port Saint Lucie, FL 34983-3444

Mailing address

2304 SW Abalon Cir
Port Saint Lucie, FL 34953-5718
Phone (312) 307-4558

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
PS54375FLMDPharmacist
16824-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc 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": "1480118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1356884282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SW ABALON CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535718",
            "telephone_number": "312-307-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 NW SAINT JAMES DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833444",
            "telephone_number": "772-878-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES MARTINEZ",
        "first_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54375",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16824-40",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.