EDDILISA MARTIN PHARMD
NPI 1366031023
Pharmacist in Fort Worth, TX

Active since January 15, 2021
1201 N BEACH ST, FORT WORTH, TX 76111(817) 834-6369 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eddilisa Martin Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDILISA MARTIN PHARMD (NPI 1366031023) is an individual pharmacist in Fort Worth, Texas, licensed in Texas (37909) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1366031023
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameEDDILISA MARTINCredential: PHARMD
Location Address1201 N BEACH STFort Worth, TX 76111-6043
Mailing Address1201 N Beach StFort Worth, TX 76111-6043
Sole ProprietorNo
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
NPI 1366031023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 37909
Definition
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.
1201 N BEACH ST, Fort Worth, TX 76111

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1201 N BEACH ST
FORT WORTH, TX 76111
Pharmacist
1201 N BEACH ST
FORT WORTH, TX 76111
Pharmacist
1201 N BEACH ST
FORT WORTH, TX 76111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddilisa Martin's NPI number?

The NPI number for Eddilisa Martin is 1366031023. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Eddilisa Martin located?

Eddilisa Martin practices at 1201 N Beach St, Fort Worth, TX 76111. The listed phone number is (817) 834-6369.

What is Eddilisa Martin's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Eddilisa Martin was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.