Provider Demographics
NPI:1154306447
Name:MARTINEZ, JOYCE GRIGSBY (RPH)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:GRIGSBY
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 VICKERY DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2468
Mailing Address - Country:US
Mailing Address - Phone:281-494-6220
Mailing Address - Fax:
Practice Address - Street 1:1111 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2209
Practice Address - Country:US
Practice Address - Phone:713-442-2450
Practice Address - Fax:713-442-2457
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX22435Medicaid
TX4561545OtherNABP
TN7060602862OtherTAX ID
TXBC6315546OtherDEA