MIRZA PEREZ-MARTINEZ (NPI# 1104301811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104301811 |
| Entity Type | Individual |
| Full Name | MIRZA PEREZ-MARTINEZ |
| Practice Address |
208 Hermitage Ln Media PA 19063-5509 |
| Practice Telephone | 6105001627 |
| Mailing Telephone | 6105001627 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP437801 | PA | Pharmacy Service Providers |
| Street Address |
208 HERMITAGE LN |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1104460377 | Olivia Ciallella | Pharmacist | 194 S New Middletown Rd, Media, PA 19063-5200 | 2019-10-31 |
| 1497305650 | Disha Soni | Pharmacist | 1095 W Baltimore Pike, Media, PA 19063-5101 | 2019-09-18 |
| 1689198756 | David Dominic Lalla | Pharmacist | 940 N Providence Rd Apt F05, Media, PA 19063-2133 | 2017-08-01 |
| 1316499361 | Martin Sweeney | Pharmacist | 1941 N Ridley Creek Rd, Media, PA 19063-1923 | 2016-10-25 |
| 1992119531 | Qian Wu | Pharmacist | 1295 N Providence Rd Apt A101, Media, PA 19063-1225 | 2014-06-11 |
| 1578905857 | Kaitlyn Mclaughlin | Pharmacist | 161 Woodhill Ln, Media, PA 19063-1962 | 2013-07-26 |
| 1013292168 | Jennifer Hoefner | Pharmacist | 33 Cedar Meadow Ln, Media, PA 19063-6305 | 2011-10-19 |
| 1598926545 | Reza Ghassemi | Pharmacist | 5110 Pennell Rd, Media, PA 19063-6501 | 2008-06-23 |
| 1861587644 | Maria Isabel Quintans | Pharmacist | 1970 Colt Rd, Media, PA 19063-1934 | 2006-10-04 |
| 1528059326 | Kristin Nicole Ball | Pharmacist | 605 E Baltimore Pike, Media, PA 19063-1734 | 2005-10-31 |
| Find all providers in MEDIA | ||||
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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.