Active NPI
Martin DO
- Pharmacist
- Highland Village, TX
National Provider Identifier
1285530196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77939
- Practice address
- 2140 Justin Rd
Highland Village, TX 75077-7163 - Phone
- (945) 910-5465
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Sex
- Male
- 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 | 77939 | TX | Primary |
Addresses
Primary practice location
2140 Justin Rd
Highland Village, TX 75077-7163
Mailing address
649 Crockett Dr
Lavon, TX 75166-1742
Phone (214) 517-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1285530196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 CROCKETT DR",
"city": "LAVON",
"state": "TX",
"postal_code": "751661742",
"telephone_number": "214-517-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 JUSTIN RD",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750777163",
"telephone_number": "945-910-5465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "77939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Village, TX
- Dental Depot of Highland Village
- Dental Health Associates of Texas, PC. (MyHighlandVillageDentist.com)
- Durga B Devineni
- Haley R Dezelle
- Discovery Diagnostics, LLC
- Tiffany Morales Drew, DDS
- Meagan Duncan, FNP-C
- Echo Behavioral Consulting, LLC
- Kathleen Quigley Eiland, DDS
- Elevation Health Highland Village, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.