Martin Joseph Cordova, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 47239 Issued in CA

Practice address

3510 Palmer Dr
Cameron Park, CA 95682-8202

Phone

(530) 676-4833

NPI assigned

Jun 9, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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 Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bel Air Market Inc

  • Community/Retail Pharmacy
  • Yuba City, CA
  • NPI 1053421719
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1164835955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 PALMER DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828202",
            "telephone_number": "530-676-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PALMER DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828202",
            "telephone_number": "530-676-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 47239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anndrea Hope Collins
• Comprehensive Orthopedic Rehabilitation and Exercise Physical Therapy (C.O.R.E. Physical Therapy, Inc)
• Brian Barrington Cook, D.C.
• Miles Joseph Cook, M.S.
• Jesus Cordova
• Couch and Hammond Dentistry Partnership
• William B Couch, DMD
• Counseling Center of Marriage and Family Therapy Corp (Better Life Counseling Center)
• Ronda Cowan, PH.D.
• Hilary Crane

• Pharmacist in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.