Individual provider Active NPI

Tommy Martincic, PHARMD

  • Pharmacist
  • Simpsonville, SC
National Provider Identifier
1306285713
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14664 Issued in SC
Practice address
2531 Woodruff Rd
Suite 107
Simpsonville, SC 29681-5465
Phone
(864) 520-1550
Fax
(864) 520-1550
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14664 SC Primary

Addresses

Primary practice location

2531 Woodruff Rd
Suite 107
Simpsonville, SC 29681-5465

Mailing address

2531 Woodruff Road
Suite 107
Simpsonville, SC 29681
Phone (864) 520-1550

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

State licenses

LicenseStateTypeSpecialty
14664SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M6 Enterprises Inc Current Accepting new patients
Greenhill Pharmacy Inc Past Accepting new patients

Locations

2531 Woodruff Rd
Ste 107
Simpsonville, SC 29681
Phone (864) 520-1550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1306285713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 WOODRUFF ROAD",
            "address_2": "SUITE 107",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-520-1550",
            "fax_number": "864-520-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 WOODRUFF RD",
            "address_2": "SUITE 107",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815465",
            "telephone_number": "864-520-1550",
            "fax_number": "864-520-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINCIC",
        "first_name": "TOMMY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "14664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.