Jeffrey Roy Martin, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202204815 Issued in VA

Practice address

576 Jefferson Ave
McDonald Army Health Center
Fort Eustis, VA 23604-1602

Phone

(757) 314-7900

NPI assigned

Jul 1, 2009

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

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1194953919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ASHCAKE RD STE G",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230052301",
            "telephone_number": "804-752-5979",
            "fax_number": "804-752-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041602",
            "telephone_number": "757-314-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Ashcake Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230052301",
            "country_code": "US",
            "telephone_number": "804-752-5979",
            "fax_number": "804-752-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "ROY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh David Logan III, DDS
• Ronald A. Mack, D.O.
• John K Mackey, MD
• Angel Kahihikolo Mangum, CRNA
• Steven Mansion
• Lori Louise Martin, PAC
• Suanne Taneal Massey, LCSW
• Lisa McCain-Johnson, MD
• Kathryn Grace McCarn, PT, DPT
• Kathleen McCauley, RN

• Pharmacist in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.