Active NPI
Carly Jo Martin, PHARM.D.
- Pharmacist
- Dothan, AL
National Provider Identifier
1265837330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20476
- Practice address
- 3525 Ross Clark Cir Ste 100
Dothan, AL 36303 - Phone
- (334) 792-4281
- NPI assigned
- Oct 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20476 | AL | Primary |
Addresses
Primary practice location
3525 Ross Clark Cir Ste 100
Dothan, AL 36303
Mailing address
110 Healtheast Dr
Dothan, AL 36303-1282
Phone (334) 794-4211
Other practice location 1
1080 County Road 39
Headland, AL 36345-7018
Phone (334) 791-4989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Dothan, AL
- NPI 1225133275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1265837330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HEALTHEAST DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031282",
"telephone_number": "334-794-4211",
"fax_number": "334-712-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ROSS CLARK CIR STE 100",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-792-4281"
}
],
"practiceLocations": [
{
"address_1": "1080 County Road 39",
"address_purpose": "LOCATION",
"city": "Headland",
"state": "AL",
"postal_code": "363457018",
"country_code": "US",
"telephone_number": "334-791-4989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "CARLY",
"middle_name": "JO",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.