Martin Pharmacy Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARTIN PHARMACY SERVICES, LLC

Doing business as

Wilkinson Pharmacy

Practice address

2017 S Garrison Ave
Carthage, MO 64836-3613

Phone

(417) 358-4840

Fax

(417) 358-8591

NPI assigned

Oct 3, 2006

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Martin, RPHNPI 1336519032

Title

Owner/Pic

Phone

(417) 358-4840

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Wilkinson Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carthage Pharmacy Services Inc

  dba Hometown Pharmacy #4

  • Pharmacy
  • Mount Vernon, MO
  • NPI 1063513398

  O20070116000149

  Same enrollment
• Curbie LLC

  dba Butler Hometown Pharmacy

  • Community/Retail Pharmacy
  • Butler, MO
  • NPI 1265525059

  O20070116000149

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Martin, PHARMD

  • Pharmacist
  • Carthage, MO
  • NPI 1336519032
  NPD Authorized official
• Charles Davin Vaughn, RPH

  • Pharmacist
  • Carthage, MO
  • NPI 1770914632
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1285728931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363613",
            "telephone_number": "417-358-4840",
            "fax_number": "417-358-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363613",
            "telephone_number": "417-358-4840",
            "fax_number": "417-358-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "417-358-4840",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600308803",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "2021015449",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkinson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivy Littles
• Charissa Lock, M.S.
• Manzer Family Medicine, LLC
• Jonathan Lyle Manzer, M.D.
• Mark a. Westhoff,D.D.S.,P.C.
• Andrew Martin, PHARMD
• Joy Annette Mayfield, RN FNP C
• Joseph William Mayo, M.D.
• McCune Brooks Hospital (Physicians for Womens Health)
• McCune Brooks Hospital (Carthage Pediatrics)

• Community/Retail Pharmacy in Carthage, MO
• Providers in Carthage, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.