MR. BRANDON KYLE MARTINEZ


Address: 200 Andrews Way Apt 206, South Windsor, CT 06074-6995
Phone: 4807104324

MR. BRANDON KYLE MARTINEZ (NPI# 1710498589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710498589
Entity Type Individual
Full Name MR. BRANDON KYLE MARTINEZ
Credential PHARMD
Practice Address 200 Andrews Way Apt 206
South Windsor
CT 06074-6995
Practice Telephone 4807104324
Practice Fax Number 4807104324
Mailing Telephone 4807104324
Enumeration Date 2017-10-19
Last Update Date 2017-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
S021641 AZ Pharmacy Service Providers

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1730332164 Brandon Joseph Martinez Counselor 40 E Minarets Ave, Fresno, CA 93650-1239 2008-10-29
1023271947 Brandon Keith Martinez Radiology 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2008-07-10

Office Location

Street Address 200 ANDREWS WAY APT 206
City SOUTH WINDSOR
State CT
Zip Code 06074-6995

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174144919 Russo Therapeutics, LLC Occupational Therapist 561 King Street, South Windsor, CT 06074 2020-05-04
1144706631 Chana Judith Hoagland Nurse Practitioner 276 Quarry Brook Drive, South Windsor, CT 06074 2018-07-17
1093203291 Climb Medical Group LLC Counselor 828 Sullivan Ave Ste A, South Windsor, CT 06074 2018-04-24
1528506516 William P Guinan, Md and Associates LLC Obstetrics & Gynecology 25 Oakland Road, South Windsor, CT 06074 2017-02-09
1487027678 Nadine Caron Nurse Practitioner 34 Pleasant Valley Rd, South Windsor, CT 06074 2015-11-10
1275957920 Ellen Carol Ronsivalli Dietitian, Registered 70 High Street, South Windsor, CT 06074 2014-02-14
1881036457 Chandra Yellinedi Pharmacist 55 Frazer Fir, South Windsor, CT 06074 2013-07-24
1144665969 Brian Thomas Moy Internal Medicine 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 2013-05-07
1093072886 Lydia Lormand Obstetrics & Gynecology 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 2012-04-18
1578847307 International Institute for Professional Development, LLC Social Worker 435 Buckland Hills Road, South Windsor, CT 06074 2011-09-28
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1164056776 Kelly A Frazier Pharmacist 2 Stonemeadow Ln, Collinsville, CT 06019-3733 2020-02-24
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1225697865 Kristin Waters Pharmacist 55 York St, New Haven, CT 06511-5653 2019-06-07
1679131924 Alex Robert Dozier Pharmacist 340 Pumpkin Hill Rd, Ledyard, CT 06339-1947 2019-06-02
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1063079358 Noura Jeblawi Pharmacist 11 Saint John St Unit C11, North Haven, CT 06473-2371 2019-05-22
1689927915 Michael Robert Sullivan Pharmacist 41 Buena Vista St, Stamford, CT 06907-2402 2012-10-24
1558663377 Sukhvir Kaur Pharmacist 229 Trumbull St, Hartford, CT 06103-1501 2010-11-30
1124331756 Myla Anderson Pharmacist 293 3rd Ave, West Haven, CT 06516-5404 2010-07-25
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Competitor

Search similar providers

City SOUTH WINDSOR
Zip Code 06074

Improve Information

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Dataset Information

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.

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