Active NPI
Dino M Martino, R.PH.
- Pharmacist
- Orlando, FL
National Provider Identifier
1992829675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS39281
- Practice address
- 800 E Church St
Orlando, FL 32801-2925 - Phone
- (407) 493-0757
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051294675 | IL | |
| Pharmacist | 183500000X | RP040071L | PA | |
| Pharmacist | 183500000X | 013309 | KY | |
| Pharmacist | 183500000X | 17596 | LA | |
| Pharmacist | 183500000X | 12601 | NE | |
| Pharmacist | 183500000X | 27060 | TN | |
| Pharmacist | 183500000X | PD10068 | AR | |
| Pharmacist | 183500000X | 16555 | AZ | |
| Pharmacist | 183500000X | A1-0003858 | DE | |
| Pharmacist | 183500000X | RPH-0011601 | OR | |
| Pharmacist | 183500000X | 18972 | AL | |
| Pharmacist | 183500000X | 24042 | MD | |
| Pharmacist | 183500000X | 5302043297 | MI | |
| Pharmacist | 183500000X | T14007 | MS | |
| Pharmacist | 183500000X | PS39281 | FL | Primary |
Addresses
Primary practice location
800 E Church St
Orlando, FL 32801-2925
Mailing address
800 E Church St
Orlando, FL 32801-2925
Phone (407) 493-0757
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD10068 | AR | MD | Pharmacist |
| 16555 | AZ | MD | Pharmacist |
| A1-0003858 | DE | MD | Pharmacist |
| PS39281 | FL | MD | Pharmacist |
| 051294675 | IL | MD | Pharmacist |
| 013309 | KY | MD | Pharmacist |
| 17596 | LA | MD | Pharmacist |
| 24042 | MD | MD | Pharmacist |
| 5302043297 | MI | MD | Pharmacist |
| T14007 | MS | MD | Pharmacist |
| 12601 | NE | MD | Pharmacist |
| RPH-0011601 | OR | MD | Pharmacist |
| RP040071L | PA | MD | Pharmacist |
| 27060 | TN | MD | Pharmacist |
| 18972 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performspecialty, LLC | Current | Accepting new patients | |
| Performspecialty, LLC | Current | Accepting new patients |
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.
-
- Specialty Pharmacy
- Orlando, FL
- NPI 1437562642
-
- Specialty Pharmacy
- Orlando, FL
- NPI 1558759266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1992829675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CHURCH ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012925",
"telephone_number": "407-493-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CHURCH ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012925",
"telephone_number": "407-493-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "DINO",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051294675",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP040071L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013309",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17596",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12601",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "27060",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10068",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "16555",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003858",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0011601",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18972",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24042",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043297",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T14007",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS39281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.