Martinez Apothecary Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE008753 Issued in GA

Legal business name

MARTINEZ APOTHECARY INC

Practice address

3830 Washington Rd Ste 11a
Martinez, GA 30907-5075

Phone

(706) 210-6654

Fax

(706) 210-8017

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Neil Grice

Title

Pharmacist Owner

Phone

(706) 210-6654

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Neil's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1154614220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WASHINGTON RD",
            "address_2": "STE 11A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075064",
            "telephone_number": "706-210-6654",
            "fax_number": "706-210-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WASHINGTON RD STE 11A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075075",
            "telephone_number": "706-210-6654",
            "fax_number": "706-210-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "706-210-6654"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE008753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7G8753",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648923041A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neil's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliann Hoda Marmal, DMD
• Lyvetta Walker Marshall, SPECIALIST
• Michael Martin, LMT, MMP, BSKIN
• Robert Lane Martin, DC
• Martinez Apothecary
• Martinez Eye Care,P.C.
• Martinez Orthodontics, PC
• Martinez Urgent Care
• Tammie Maryland
• Quiana Matthews, LMFT

• Long Term Care Pharmacy in Martinez, GA
• Providers in Martinez, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.