Individual provider Active NPI

Martika Christine Martin, PHARMD, BCGP, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Evansville, IN
National Provider Identifier
1043782345
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
019332 Issued in KY
Practice address
101 NW 1St St Ste 201
Evansville, IN 47708-1259
Phone
(812) 303-0002
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 019332 KY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 019332 KY Primary
Geriatric Pharmacist 1835G0303X 019332 KY

Addresses

Primary practice location

101 NW 1St St Ste 201
Evansville, IN 47708-1259

Mailing address

12871 Red Gate Rd
Evansville, IN 47725-9048
Phone (606) 305-1692

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
019332KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew 25 AIDS Services Inc CurrentSince Dec 3, 2023 Accepting new patients

Locations

101 NW 1st St
Ste 201
Evansville, IN 47708
Phone (812) 303-0002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1043782345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12871 RED GATE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259048",
            "telephone_number": "606-305-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 201",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-303-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARTIKA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCGP, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "KY",
            "license": "019332",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "019332",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "KY",
            "license": "019332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.