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NPISignal

Individual Healthcare Provider

Liancy Amanda Gomez Martinez, PHARM.D., BCPS, BCGP

NPI Record: ActivePharmacist — Geriatric
NPI1679665012
Hines, Illinois

Provider's NPPES record last updated: November 6, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1679665012
Primary Specialty
Pharmacist — Geriatric
Practice Location
Hines, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacist

    Geriatric

    Pharmacy Service Providers

    Primary

    A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.

    Taxonomy code 1835G0303X
  • Pharmacist

    Pharmacy Service Providers

    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.

    Taxonomy code 183500000X
  • Pharmacist

    Pharmacotherapy

    Pharmacy Service Providers

    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.

    Taxonomy code 1835P1200X

Provider-Reported License Information

Pharmacist (Illinois)
9101816
Pharmacist (Illinois)
051289775
Pharmacist (Illinois)
305006608
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5000 South Fifth Avenue

Hines, Illinois 60141

Phone: (708) 202-8387

Record Information

Enumeration Date
September 29, 2006
Provider's NPPES Record Last Updated
November 6, 2025
Certification Date
November 6, 2025
NPISignal NPPES Dataset
August 2026

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