Active NPI
Luis & Teresa Martinez, Inc.
Doing business as MedCenter Pharmacy
- Community/Retail Pharmacy
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30109 | Other | TX | PHARMACIST LICENSE |
| 145491 | Medicaid | TX | |
| P0139036 | Other | TX | DPS NO. |
| 4598299 | Other | TX | NABP |
| 014351302 | Medicaid | TX | |
| 014351301 | Medicaid | TX | |
| 23883 | Other | TX | PHARMACY LICENSE |
Other names 1
- MedCenter Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930071876 | TX | DME Supplier - Pharmacy | 3274743984 | Practice locations: Laredo, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medcenter Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Laredo, TX
- NPI 1265096580
-
- Pharmacist
- Laredo, TX
- NPI 1184287880
-
- Pharmacist
- Laredo, TX
- NPI 1336702034
-
- Pharmacist
- Laredo, TX
- NPI 1396308219
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.