ELAINIE MARLENE MARTINEZ (NPI# 1063033124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063033124 |
| Entity Type | Individual |
| Full Name | ELAINIE MARLENE MARTINEZ |
| Credential | PHARMD |
| Practice Address |
105 N Alton Blvd Alton TX 78573-0256 |
| Mailing Address |
2219 Cedro Dr San Juan TX 78589-4166 |
| Practice Telephone | 9565803539 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 61374 | TX | Pharmacy Service Providers |
| Street Address |
105 N ALTON BLVD |
| City | ALTON |
| State | TX |
| Zip Code | 78573-0256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477399 | Andrew Hoseung Ryu | Dentist | 4322 N Conway Ave., Ste 104, Palmhurst, TX 78573 | 2019-06-26 |
| 1700302460 | Viva Phc, LLC | Home Health | 2802 E Bluebonnet Ln, Mission, TX 78573 | 2017-08-15 |
| 1780070201 | Bc Corp Pllc | Dentist | 228 E 3 Mile Rd, Ste 101, Palmhurst, TX 78573 | 2015-04-10 |
| 1487064465 | El Rancho Adult Day Care | Clinic/Center | 1905 W 3 Mile Rd., Ste. 1600 & 1700, Mission, TX 78573 | 2014-04-30 |
| 1902237597 | Well-care Rx & Dme, LLC | Durable Medical Equipment & Medical Supplies | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573 | 2013-12-06 |
| 1417380825 | H-e-b, Lp | Clinical Medical Laboratory | 120 East Mile 3rd Road, Palmhurst, TX 78573 | 2013-08-21 |
| 1841532975 | C-pharmrx,llc | Pharmacy | 1315 West Main Avenue, Suite 13b, Alton, TX 78573 | 2013-03-27 |
| 1548509466 | Palli-med Hospice LLC | Hospice Care, Community Based | 1310 E. Main Ave, Suite B, Alton, TX 78573 | 2013-02-13 |
| 1144568957 | Julio Cesar Bravo | Nurse Practitioner | 2001 W. 3 Mile Rd., Suite 2500, Mission, TX 78573 | 2013-01-29 |
| 1447597653 | Alton Childrens Care Clinic, P.a. | Pediatrics | 8115 North Los Ebanos Road, Alton, TX 78573 | 2013-01-08 |
| Find all providers in zip 78573 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407172067 | Deanna Nicole Taylor | Pharmacist | 2851 Homer M Adams Pkwy, Alton, IL 62002-4856 | 2010-04-07 |
| 1942522883 | Bruce D Brueggemann | Pharmacist | 2851 Homer Adams Pkwy, Alton, IL 62002-4856 | 2010-02-19 |
| 1679632285 | Dan L Myers | Pharmacist | N Hwy 160, Alton, MO 65606-0307 | 2006-12-08 |
| 1700898111 | Sharon Anita Zitzman | Pharmacist | 2601 State St, Alton, IL 62002-5151 | 2006-08-13 |
| 1790730315 | Billy Gene Daubenspeck | Pharmacist | 2 Memorial Drive, Ste 100, Home Care Pharmacy, Alton, IL 62002-6723 | 2006-05-23 |
| 1952350274 | Penny Ruth Barton | Pharmacist | 2516 State St, Alton, IL 62002-5148 | 2006-05-06 |
| 1295336949 | Kiana Dibiase | Pharmacist | 80 Wolfeboro Hwy, Alton, NH 03809-4953 | 2020-11-07 |
| 1568076008 | Samantha Lynn Parker | Pharmacist | 2615 Edwards St, Suite 102, Alton, IL 62002 | 2020-09-02 |
| 1700498441 | Matthew Ehrhardt | Pharmacist | 2610 State St, Alton, IL 62002-5150 | 2020-08-22 |
| 1336797653 | Cynthia A Herrera | Pharmacist | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573-1670 | 2019-08-29 |
| Find all providers in ALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.