DR. STACEY BROOKE MARTINEZ (NPI# 1356623136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356623136 |
| Entity Type | Individual |
| Full Name | DR. STACEY BROOKE MARTINEZ |
| Credential | PHARMD |
| Practice Address |
1602 N Dixie Hwy Elizabethtown KY 42701-2682 |
| Practice Telephone | 2707373713 |
| Practice Fax Number | 2707377878 |
| Mailing Telephone | 2707373713 |
| Mailing Fax Number | 2707377878 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 012700 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477083889 | Stacey Martinez | Behavior Technician | 2223 E St Apt B, Sacramento, CA 95816-3528 | 2017-06-18 |
| Street Address |
1602 N DIXIE HWY |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508148719 | Orady Senamoontry | Pharmacist | 1602 N Dixie Hwy, Elizabethtown, KY 42701-2682 | 2011-09-13 |
| 1669757563 | Robert Mack Pemberton | Pharmacist | 1602 N Dixie Hwy, Elizabethtown, KY 42701-2682 | 2011-10-12 |
| 1073896643 | Amy Dones | Pharmacist | 1602 N Dixie Hwy, Elizabethtown, KY 42701-2682 | 2011-09-21 |
| 1659653368 | Gary Dale Darst | Pharmacist | 1602 N Dixie Hwy, Elizabethtown, KY 42701-2682 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1326550716 | Paul Kostishak | Pharmacist | 2702 Chestnut Rd, Elizabethtown, PA 17022-9058 | 2017-10-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1871039560 | Tiffany Fassnacht | Pharmacist | 2403 3rd Ave, Elizabethtown, NC 28337-8983 | 2017-01-18 |
| 1205235413 | Gena Rae Bickhart | Pharmacist | 348 Sunrise Blvd, Elizabethtown, PA 17022-1436 | 2014-08-14 |
| 1609291277 | Michael Voutsas | Pharmacist | 443 Hilltop Cir, Elizabethtown, PA 17022-9659 | 2014-02-19 |
| 1609128735 | Joseph Anthony Hamm | Pharmacist | 1809 N Dixie Hwy, Elizabethtown, KY 42701-9451 | 2012-10-13 |
| 1326321852 | Vincent Keith Barnes | Pharmacist | 711 Landsdowne Ct, Elizabethtown, KY 42701-2103 | 2011-09-21 |
| 1508148719 | Orady Senamoontry | Pharmacist | 1602 N Dixie Hwy, Elizabethtown, KY 42701-2682 | 2011-09-13 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.