Active NPI
Manuel Martinez, PHARM. D.
- Pharmacist
- Medley, FL
National Provider Identifier
1851057640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46662
- Practice address
- 9675 NW 117TH Ave # 202
Medley, FL 33178-1228 - Phone
- (305) 213-3683
- NPI assigned
- Nov 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS46662 | FL | Primary |
Addresses
Primary practice location
9675 NW 117TH Ave # 202
Medley, FL 33178-1228
Mailing address
9922 SW 97TH PL
Miami, FL 33176-2815
Phone (305) 213-3683
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46662 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1851057640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9922 SW 97TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762815",
"telephone_number": "305-213-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9675 NW 117TH AVE # 202",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331781228",
"telephone_number": "305-213-3683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MANUEL",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.