Martinez Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008753 Issued in GA

Legal business name

MARTINEZ APOTHECARY

Practice address

3830 Washington Rd
Ste 11 a
Martinez, GA 30907-5064

Phone

(706) 210-6654

Fax

(706) 210-8017

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Neil W GriceNPI 1699815050

Title

President

Phone

(706) 210-6654

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil W Grice, PHARM.D

  • Geriatric Pharmacist
  • Martinez, GA
  • NPI 1699815050
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1255471173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WASHINGTON RD",
            "address_2": "STE 11 A",
            "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",
            "address_2": "STE 11 A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075064",
            "telephone_number": "706-210-6654",
            "fax_number": "706-210-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-210-6654"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648923041A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2387",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Joseph Mareska, DDS
• Juliann Hoda Marmal, DMD
• Lyvetta Walker Marshall, SPECIALIST
• Michael Martin, LMT, MMP, BSKIN
• Robert Lane Martin, DC
• Martinez Apothecary Inc
• Martinez Eye Care,P.C.
• Martinez Orthodontics, PC
• Martinez Urgent Care
• Tammie Maryland

• Community/Retail Pharmacy in Martinez, GA
• Providers in Martinez, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.