Individual provider Active NPI

James Carey Martin III, RPH

  • Pharmacist
  • Blackshear, GA
National Provider Identifier
1053574699
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
017263 Issued in GA
Practice address
3487 US Highway 84
Blackshear, GA 31516-2293
Phone
(912) 449-6616
Fax
(912) 449-5759
NPI assigned
Jul 3, 2008
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 017263 GA Primary

Addresses

Primary practice location

3487 US Highway 84
Blackshear, GA 31516-2293

Mailing address

3487 US Highway 84
Blackshear, GA 31516-2293
Phone (912) 449-6616

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
017263GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brantley Drug Company, LLC Current Accepting new patients
Blackshear Drug Co Current Accepting new patients

Locations

3487 US Highway 84
Blackshear, GA 31516
Phone (912) 449-6616

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1053574699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 US HIGHWAY 84",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315162293",
            "telephone_number": "912-449-6616",
            "fax_number": "912-449-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 US HIGHWAY 84",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315162293",
            "telephone_number": "912-449-6616",
            "fax_number": "912-449-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "CAREY",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "017263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackshear, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.