Martin Pharmacy Investments PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29890 Issued in TX

Legal business name

MARTIN PHARMACY INVESTMENTS PLLC

Practice address

4290 Kinsey Dr
Tyler, TX 75703-1024

Phone

(903) 561-5656

Fax

(903) 534-5468

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen MartinNPI 1215263959

Title

President

Phone

(903) 561-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kinsey's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Bradley Martin, PHARMD

  • Pharmacist
  • Tyler, TX
  • NPI 1215263959
  NPD Authorized official
• Jessica Lynn Cantwell, PHARMD

  • Pharmacist
  • Tyler, TX
  • NPI 1548887169
  NPD (past)
• Austin J Dowell, PHARMD

  • Pharmacist
  • Tyler, TX
  • NPI 1366003063
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1013057652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 KINSEY DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031024",
            "telephone_number": "903-561-5656",
            "fax_number": "903-534-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 KINSEY DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031024",
            "telephone_number": "903-561-5656",
            "fax_number": "903-534-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PHARMACY INVESTMENTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-561-5656"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinsey's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martial Arts Therapy
• Martin Blanchard Jr., D.C., PLLC
• Sharon J. Martin Holm, M.D.
• Martin Medical PLLC
• Martin Neurobehavioral Center, PC
• Amanda J Martin
• Amanda N Martin
• Angela H Martin, M.S., CCC-SLP
• Barbara Jean Martin, R.PH
• Cynthia Aline Martin, LVN

• Community/Retail Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.