DR. GLENN ERIC MARTINEZ (NPI# 1619963758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619963758 |
| Entity Type | Individual |
| Full Name | DR. GLENN ERIC MARTINEZ |
| Credential | BS PHARM, PHARM.D. |
| Practice Address |
John Cochran Va Medical Center 915 North Grand St. Louis MO 63106 |
| Mailing Address |
375 Beckley Pl Saint Charles MO 63304-1030 |
| Practice Telephone | 3142896339 |
| Mailing Telephone | 6365777369 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS 39822 | FL | Pharmacy Service Providers |
| Street Address |
JOHN COCHRAN VA MEDICAL CENTER 915 NORTH GRAND |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
| 1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
| 1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
| 1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
| 1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
| 1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
| Find all providers in zip 63106 | ||||
| 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 |
|---|---|---|---|---|
| 1972089852 | Carmen Marie Stach | Pharmacist | 4050 W Pine Blvd, Apt 3205, St. Louis, MO 63131-6313 | 2018-07-13 |
| 1104194422 | Ryan William Cook | Pharmacist | 13026 Old Farm Drive, St. Louis, MO 63146 | 2011-12-01 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1518287648 | Pharmacy Services Inc. | Pharmacist | 212 Millwell Dr., Suite A, St. Louis, MO 63043 | 2010-06-11 |
| 1053533018 | Ryan Wesley Riney | Pharmacist | 3865 Gravois, St. Louis, MO 63116 | 2007-05-02 |
| 1114023801 | Laura Moretti Challen | Pharmacist | 4901 Forest Park Ave., Floor 2, Barnes-jewish Hospital, Center for Outpatient Health, St. Louis, MO 63108 | 2006-09-16 |
| 1699727024 | Michelle Hertell | Pharmacist | 4921 Parkview Plave, St. Louis, MO 63110 | 2006-05-16 |
| 1528612066 | Krissa Glaubius | Pharmacist | 915 N Grand Blvd, St. Louis, MO 63106 | 2019-08-01 |
| 1609322213 | Tom Cowden Jr. | Pharmacist | 915 N. Grand Blvd, St. Louis, MO 63123 | 2016-09-01 |
| Find all providers in ST. LOUIS | ||||
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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.