Javier Jose Martiney, PHARMD
Individual provider Active NPI Pharmacist · Interlachen, FL
NPI 1801447362 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1801447362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS60064 (FL)
- Practice address
- 1213 FL-20
Interlachen, FL 32148 - Phone
- (386) 684-4914
- NPI assigned
- Sep 26, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS60064 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS60064 | FL | Yes |
Addresses
Primary practice location
1213 FL-20
Interlachen, FL 32148
Mailing address
1 Buttercup PL
Palm Coast, FL 32137-9417
Phone (813) 244-4779
Other providers in Interlachen, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.