Organization Active NPI

Martinez Pharmacy LC

Doing business as Martinez Pharmacy

  • Community/Retail Pharmacy
  • Laredo, TX
National Provider Identifier
1619038783
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22520 Issued in TX
Legal business name
MARTINEZ PHARMACY LC
Doing business as
Martinez Pharmacy
Practice address
1407 Jacaman Rd
Laredo, TX 78041-6194
Phone
(956) 722-7600
Fax
(956) 722-7619
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Tony Martinez, RPH
Title
Owner and Pic
Phone
(956) 722-7600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 22520 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1407 Jacaman Rd
Laredo, TX 78041-6194

Mailing address

1407 Jacaman Rd
Laredo, TX 78041-6194
Phone (956) 722-7600

Other identifiers 2

IdentifierTypeStateIssuer
2098643OtherPK
145287MedicaidTX

Other names 1

  • MARTINEZ PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930008322 TX DME Supplier - Pharmacy 0941416507 Practice locations: Laredo, TX
O20181030002893 TX Part B Supplier - Pharmacy 0941416507 Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Martinez Pharmacy1407 Jacaman Rd, Laredo, TX 78041-6194(956) 722-7600 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Ostomy Supplies|Trach… Does not accept assignmentParticipating since May 1, 2003

National Provider Directory

National Provider Directory

Locations

1407 Jacaman Rd
Laredo, TX 78041
Phone (956) 722-7600

1407 Jacaman Rd
Ste A
Laredo, TX 78041
Phone (956) 722-7600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1619038783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 JACAMAN RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416194",
            "telephone_number": "956-722-7600",
            "fax_number": "956-722-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 JACAMAN RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416194",
            "telephone_number": "956-722-7600",
            "fax_number": "956-722-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ PHARMACY LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "956-722-7600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22520",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098643",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTINEZ PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.