Provider Demographics
NPI:1689397572
Name:MARTINEZ, JOSEPH TIMOTHY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TIMOTHY
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 SMITHRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2577
Mailing Address - Country:US
Mailing Address - Phone:505-480-5739
Mailing Address - Fax:
Practice Address - Street 1:1501 W CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4505
Practice Address - Country:US
Practice Address - Phone:910-891-1930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31712183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist