Jorge Antonio Martillo, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

47343 Issued in TX

Practice address

7151 Boulevard 26
( Walgreens )
North Richland Hills, TX 76180-8607

Phone

(817) 514-9474

NPI assigned

Oct 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1841576345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HILL TRAIL DR",
            "address_2": "APT 1025",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395686",
            "telephone_number": "718-926-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 BOULEVARD 26",
            "address_2": "( WALGREENS )",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808607",
            "telephone_number": "817-514-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTILLO",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47343",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kozman, LLC
• Jennifer R Markum, RN
• Jessica Marquez
• Charles Edmond Marshall, DC
• Martha P. Wills, M.D., F.a.C.S., PA
• Barbara Angel Martinez, LCSW
• Joe Martinez, RN
• Ruth Esmeralda Martinez, LPC
• Preethy Maruthoor
• Thelma Mascorro

• Pharmacist in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.