Active NPI
Jed Martin
- Pharmacist
- Hurtsboro, AL
National Provider Identifier
1013586221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14368
- Practice address
- 510 Main St
Hurtsboro, AL 36860 - Phone
- (334) 703-7049
- NPI assigned
- Jun 22, 2021
- Last updated
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14368 | AL | Primary |
Addresses
Primary practice location
510 Main St
Hurtsboro, AL 36860
Mailing address
2413 Crawford Rd
Phenix City, AL 36867-3648
Phone (334) 298-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14368 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Family Care | Current | Accepting new patients | |
| Hurtsboro Drugs LLC | Current | Accepting new patients | |
| Family Care Pharmacy | Past | Accepting new patients |
Locations
2413 Crawford Rd
Phenix City, AL 36867
Phone (334) 298-2577
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Glenn's Pharmacy
- Durable Medical Equipment & Medical Supplies
- Phenix City, AL
- NPI 1851313829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1013586221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 CRAWFORD RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368673648",
"telephone_number": "334-298-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 MAIN ST",
"city": "HURTSBORO",
"state": "AL",
"postal_code": "36860",
"telephone_number": "334-703-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurtsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.