Individual provider Active NPI

Martha Hernandez

  • Pharmacy Technician
  • Lynwood, CA
National Provider Identifier
1538858618
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
TCH59374 Issued in CA
Practice address
11325 Long Beach Blvd
Lynwood, CA 90262-3300
Phone
(310) 604-9264
Fax
(310) 604-1165
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TCH59374 CA Primary

Addresses

Primary practice location

11325 Long Beach Blvd
Lynwood, CA 90262-3300

Mailing address

11325 Long Beach Blvd
Lynwood, CA 90262-3300
Phone (310) 604-9264

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

State licenses

LicenseStateTypeSpecialty
TCH59374CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince May 7, 2023 Accepting new patients
Thrifty Payless Inc PastSince May 7, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1538858618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 LONG BEACH BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623300",
            "telephone_number": "310-604-9264",
            "fax_number": "310-604-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 LONG BEACH BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623300",
            "telephone_number": "310-604-9264",
            "fax_number": "310-604-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH59374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.