Beth A Martin, RPH, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

11543 Issued in WI

Practice address

777 Highland Ave
1022 Rennebohm Hall
Madison, WI 53705-2222

Phone

(608) 265-4667

Fax

(608) 265-5421

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134137516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HIGHLAND AVE",
            "address_2": "1022 RENNEBOHM HALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052222",
            "telephone_number": "608-265-4667",
            "fax_number": "608-265-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HIGHLAND AVE",
            "address_2": "1022 RENNEBOHM HALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052222",
            "telephone_number": "608-265-4667",
            "fax_number": "608-265-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Prof.",
        "credential": "RPH, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Daniela Martin Rother, M.D.
• Joanne G. Martin-Koob, PA-C
• Adam Samuel Martin, MD
• Ann M Martin
• Arlene R Martin, ED.D
• Camila Martin, RDN, CLS
• Christopher Calvin Martin, RN
• David Michael Martin, MD
• Drew Martin, BCBA
• Elizabeth Grace Martin

• Pharmacist in Madison, WI
• Providers in Madison, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.