Active NPI
William P Martin Jr., PHARMD
- Pharmacist
- Ridgecrest, CA
National Provider Identifier
1033341524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20658
- Practice address
- 1 Administration Cir
Ridgecrest, CA 93555-6104 - Phone
- (760) 939-8030
- NPI assigned
- Aug 17, 2009
- Last updated
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 20658 | NC | Primary |
Addresses
Primary practice location
1 Administration Cir
Ridgecrest, CA 93555-6104
Mailing address
1 Administration Cir
Ridgecrest, CA 93555-6104
Phone (760) 939-8030
Other practice location 1
2080 Child St
Jacksonville, FL 32214-5005
Phone (904) 542-7405
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20658 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1033341524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ADMINISTRATION CIR",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935556104",
"telephone_number": "760-939-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ADMINISTRATION CIR",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935556104",
"telephone_number": "760-939-8030"
}
],
"practiceLocations": [
{
"address_1": "2080 Child St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322145005",
"country_code": "US",
"telephone_number": "904-542-7405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "WILLIAM",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-17",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
- Iosef Mamaliger, D.D.S.
- Maria Holm Licensed Clinical Social Worker Inc (Social Therapy Services)
- Marley Creek Rural Health Inc
- Emily Marlow, FNP
- Thomas Arnold Martin, PH.D.
- Serena Villa Martinez
- Sierra Amber Martinez, LVN
- Timothy John Martinez
- Julianne Marvin, LPCC
- Matrix Rehabilitation, Inc. (Select Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.