Nabila Chaudhri Martinez, PHARMD – Pharmacist

Key facts

NPI: 1801498787
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 5302412977 (MI)
Practice address: 2603 Jackson Ave
Ann Arbor, MI 48103-3820
Phone: (734) 663-1362
NPI assigned: Nov 15, 2020
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Apex Drug Stores Inc Community/Retail Pharmacy · Ann Arbor, MI · NPI 1861408163

NPD (past)
Apex Drug Stores Inc Community/Retail Pharmacy · Farmington Hills, MI · NPI 1932115235

NPD (past)

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
5302412977	MI	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Apex Drug Stores Inc		Past since Nov 22, 2020	Accepting new patients
Apex Drug Stores Inc		Past since Nov 22, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist Group: 193400000X SINGLE SPECIALTY GROUP	183500000X	5302412977	MI	Yes

Addresses

Primary practice location

2603 Jackson Ave
Ann Arbor, MI 48103-3820

Mailing address

2603 Jackson Ave
Ann Arbor, MI 48103-3820

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2020.

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1801498787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033820",
            "telephone_number": "734-663-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRI MARTINEZ",
        "first_name": "NABILA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

All providers in Ann Arbor, MI · Pharmacist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2020. 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.

Verify at the official NPI Registry.