Active NPI
Martha Patricia Fankhauser, PHARM. M.S.
- Psychiatric Pharmacist
- Tucson, AZ
National Provider Identifier
1336146489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 7311
- Practice address
- 721 N Olsen Ave
Tucson, AZ 85719-5138 - Phone
- (520) 405-6526
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 7311 | AZ | Primary |
Addresses
Primary practice location
721 N Olsen Ave
Tucson, AZ 85719-5138
Mailing address
721 N Olsen Ave
Tucson, AZ 85719-5138
Phone (520) 884-9091
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7311 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1336146489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N OLSEN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195138",
"telephone_number": "520-884-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N OLSEN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195138",
"telephone_number": "520-405-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANKHAUSER",
"first_name": "MARTHA",
"middle_name": "PATRICIA",
"name_prefix": "Prof.",
"credential": "PHARM. M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "AZ",
"license": "7311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.