Active NPI
Latoya Martin, PHARM.D
- Pharmacist
- Chinle, AZ
National Provider Identifier
1053761643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202213687
- Practice address
- Hwy 191 Hospital Turnoff
Chinle, AZ 86503 - Phone
- (928) 674-7861
- NPI assigned
- Jun 15, 2016
- Last updated
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202213687 | VA | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | 0202213687 | VA |
Addresses
Primary practice location
Hwy 191 Hospital Turnoff
Chinle, AZ 86503
Mailing address
9221 Brinkley LN
Manassas, VA 20110-5584
Phone (703) 401-4224
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 |
|---|---|---|---|
| 0202213687 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1053761643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 BRINKLEY LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105584",
"telephone_number": "703-401-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 191 HOSPITAL TURNOFF",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LATOYA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202213687",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "VA",
"license": "0202213687",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.