Palmira Grace Martinez, CPHT

Individual provider Active NPI Pharmacy Technician · Port Lavaca, TX

NPI 1407436694 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1407436694
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
100063 (TX)
Practice address
101 Calhoun PLZ
Port Lavaca, TX 77979-2423
Phone
(361) 552-4563
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
100063TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Past
since Apr 20, 2021
Accepting new patients
H-E-B, LP Past
since Apr 20, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 100063 TX Yes

Addresses

Primary practice location

101 Calhoun PLZ
Port Lavaca, TX 77979-2423

Mailing address

101 Calhoun PLZ
Port Lavaca, TX 77979-2423
Phone (361) 552-4563

Other providers in Port Lavaca, TX

All providers in Port Lavaca, TX · Pharmacy Technician in Texas

Sources for this page

Verify at the official NPI Registry.