Organization Active NPI

Luis & Teresa Martinez, Inc.

Doing business as MedCenter Pharmacy

  • Community/Retail Pharmacy
  • Laredo, TX
National Provider Identifier
1700888781
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LUIS & TERESA MARTINEZ, INC.
Doing business as
MedCenter Pharmacy
Practice address
1419 E Bustamante St
Laredo, TX 78041-5303
Phone
(956) 791-1991
Fax
(956) 791-6279
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Luis Martinez Jr., R. PH.NPI 1265096580
Title
President
Phone
(956) 791-1991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 23883 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1419 E Bustamante St
Laredo, TX 78041-5303

Mailing address

1419 E Bustamante St
Laredo, TX 78041-5303
Phone (956) 791-1991

Other identifiers 7

IdentifierTypeStateIssuer
30109OtherTXPHARMACIST LICENSE
145491MedicaidTX
P0139036OtherTXDPS NO.
4598299OtherTXNABP
014351302MedicaidTX
014351301MedicaidTX
23883OtherTXPHARMACY LICENSE

Other names 1

  • MedCenter Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930071876 TX DME Supplier - Pharmacy 3274743984 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
Medcenter Pharmacy1419 E Bustamante St, Laredo, TX 78041-5303(956) 791-1991 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

1419 E Bustamante St
Laredo, TX 78041
Phone (956) 791-1991

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700888781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 E BUSTAMANTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415303",
            "telephone_number": "956-791-1991",
            "fax_number": "956-791-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 E BUSTAMANTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415303",
            "telephone_number": "956-791-1991",
            "fax_number": "956-791-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS & TERESA MARTINEZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-791-1991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "23883",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "30109",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145491",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS NO.",
            "identifier": "P0139036",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4598299",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014351302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014351301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "23883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedCenter 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 7, 2023; 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.