Active NPI
Vernon George Martzin, RPH
- Pharmacist
- Johnson City, TN
National Provider Identifier
1124618699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9228
- Practice address
- 300 Med Tech Pkwy
Johnson City, TN 37604-2277 - Phone
- (423) 302-1086
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 9228 | TN | Primary |
Addresses
Primary practice location
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Mailing address
252 Hugh Cox Rd
Gray, TN 37615-4141
Phone (423) 747-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vernon.martzin@balladhealth.org | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9228 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1124618699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 HUGH COX RD",
"city": "GRAY",
"state": "TN",
"postal_code": "376154141",
"telephone_number": "423-747-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MED TECH PKWY",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042277",
"telephone_number": "423-302-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTZIN",
"first_name": "VERNON",
"middle_name": "GEORGE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9228",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vernon.martzin@balladhealth.org",
"affiliation": "N",
"endpointDescription": "Company email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "300 Med Tech Pkwy",
"city": "Johnson City",
"state": "TN",
"country_code": "US",
"postal_code": "376042277",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.