DR. TRACY ANNE MARTINEZ (NPI# 1659410900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659410900 |
| Entity Type | Individual |
| Full Name | DR. TRACY ANNE MARTINEZ |
| Credential | PHARM.D. |
| Practice Address |
19401 Hubbard Dr Floor 2, Room 286 Dearborn MI 48126-2641 |
| Mailing Address |
7601 Esper Blvd Dearborn MI 48126-1111 |
| Practice Telephone | 3139828404 |
| Practice Fax Number | 3139828343 |
| Mailing Telephone | 3135820197 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302033189 | MI | Pharmacy Service Providers |
| Street Address |
19401 HUBBARD DR FLOOR 2, ROOM 286 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205525 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 19401 Hubbard Dr, Suite 100, Dearborn, MI 48126-2641 | 2006-02-21 |
| 1881208783 | Elizabeth Anne Labodie | Nurse Practitioner | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2020-09-08 |
| 1396378931 | Camiron Alicia Andrews | Massage Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2699 | 2020-02-21 |
| 1851944573 | Andrew Sedra | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-07-22 |
| 1780244509 | Randa Abu Sayf | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-14 |
| 1134788110 | Kathryn Ann Rankin | Physician Assistant | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-12 |
| 1366907982 | Fadi Fardous | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-02-07 |
| 1952885220 | Miranda H Rippin | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-09-21 |
| 1366943417 | Carrie Marie Foggia | Occupational Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-02-23 |
| 1265958656 | Scott Backman | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2017-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578847646 | Abdulghni Hassan | Pharmacist | 13601 Warren, Dearborn, MI 48126 | 2011-10-06 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1235331653 | David Wilpula | Pharmacist | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2007-06-05 |
| 1013139120 | Neha Desai | Pharmacist | 18101 Oakwood Blvd, Pharmacy, Dearborn, MI 48124-4089 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
| 1316350887 | Jeffrey John Wieczorek | Pharmacist | 9416 Wildwood Lake Dr, Whitmore Lake, MI 48189-9430 | 2014-06-03 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
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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.