Active NPI
Andrew Martin, PHARMD
- Pharmacist
- Carthage, MO
National Provider Identifier
1336519032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2004031550
- Practice address
- 1601 Missouri Ave
Carthage, MO 64836-3060 - Phone
- (417) 359-8185
- Fax
- (417) 359-8276
- NPI assigned
- Oct 7, 2015
- Last updated
- Oct 7, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2004031550 | MO | Primary |
| Pharmacist | 183500000X | R-13567 | OK |
Addresses
Primary practice location
1601 Missouri Ave
Carthage, MO 64836-3060
Mailing address
1601 Missouri Ave
Carthage, MO 64836-3060
Phone (417) 359-8185
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004031550 | MO | MD | Pharmacist |
| R-13567 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Pharmacy Services, LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wilkinson Pharmacy
- Community/Retail Pharmacy
- Carthage, MO
- NPI 1285728931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1336519032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MISSOURI AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648363060",
"telephone_number": "417-359-8185",
"fax_number": "417-359-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MISSOURI AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648363060",
"telephone_number": "417-359-8185",
"fax_number": "417-359-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANDREW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2004031550",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "R-13567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MO
- Charissa Lock, M.S.
- Manzer Family Medicine, LLC
- Jonathan Lyle Manzer, M.D.
- Mark a. Westhoff,D.D.S.,P.C.
- Martin Pharmacy Services, LLC (Wilkinson Pharmacy)
- Joy Annette Mayfield, RN FNP C
- Joseph William Mayo, M.D.
- McCune Brooks Hospital (Physicians for Womens Health)
- McCune Brooks Hospital (Carthage Pediatrics)
- McCune Brooks Hospital (McCune Brooks Home Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.