Individual provider Active NPI

Stephanie Marth, PHARMD

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1093051880
Registry record updated Dec 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40827 Issued in TX
Practice address
2909 Lemmon Ave Ste a
Dallas, TX 75204-0305
Phone
(214) 740-0900
Fax
(214) 999-9306
NPI assigned
Dec 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40827 TX Primary

Addresses

Primary practice location

2909 Lemmon Ave Ste a
Dallas, TX 75204-0305

Mailing address

2909 Lemmon Ave Ste a
Dallas, TX 75204-0305
Phone (214) 740-0900

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

LicenseStateTypeSpecialty
40827TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1356307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356307200000",
    "number": "1093051880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 LEMMON AVE STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040305",
            "telephone_number": "214-740-0900",
            "fax_number": "214-999-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LEMMON AVE STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040305",
            "telephone_number": "214-740-0900",
            "fax_number": "214-999-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTH",
        "first_name": "STEPHANIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-24",
        "last_updated": "2012-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; 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.