Individual provider Active NPI

Jose A Ruiz Martinez, RPH

  • Pharmacist
  • Shillington, PA
National Provider Identifier
1720241367
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438036 Issued in PA
Practice address
32 2ND St
Shillington, PA 19607-2702
Phone
(609) 706-0192
NPI assigned
Jul 3, 2008
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02909200 NJ
Pharmacist 183500000X PS48849 FL
Pharmacist 183500000X RP438036 PA Primary

Addresses

Primary practice location

32 2ND St
Shillington, PA 19607-2702

Mailing address

32 2ND St
Shillington, PA 19607-2702
Phone (609) 706-0192

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS48849FLMDPharmacist
28RI02909200NJMDPharmacist
RP438036PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1720241367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 2ND ST",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072702",
            "telephone_number": "609-706-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 2ND ST",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072702",
            "telephone_number": "609-706-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02909200",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48849",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.