Individual provider Active NPI

Jed Martin

  • Pharmacist
  • Hurtsboro, AL
National Provider Identifier
1013586221
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14368 Issued in AL
Practice address
510 Main St
Hurtsboro, AL 36860
Phone
(334) 703-7049
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14368ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hurtsboro Drugs LLC Current
since Aug 1, 2021
Accepting new patients
Martin Family Care Current
since Jun 27, 2021
Accepting new patients
Family Care Pharmacy Past
since Jun 27, 2021
Accepting new patients

Locations

2413 Crawford Rd
Phenix City, AL 36867
Phone (334) 298-2577

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14368 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

510 Main St
Hurtsboro, AL 36860

Mailing address

2413 Crawford Rd
Phenix City, AL 36867-3648
Phone (334) 298-2577

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2021.

{
    "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.

Verify at the official NPI Registry.