Organization Active NPI

Family Pharmacy Inc

Doing business as Martin's Pharmacy

  • Community/Retail Pharmacy
  • Oxford, AL
National Provider Identifier
1356439079
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111041 Issued in AL
Legal business name
FAMILY PHARMACY INC
Doing business as
Martin's Pharmacy
Practice address
610 Quintard Dr
Oxford, AL 36203-1840
Phone
(256) 831-6116
Fax
(866) 833-7553
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. Christopher Clay Martin, RPH
Title
Owner
Phone
(256) 831-6116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 111041 AL Primary

Addresses

Primary practice location

610 Quintard Dr
Oxford, AL 36203-1840

Mailing address

610 Quintard Dr
Oxford, AL 36203-1840
Phone (256) 831-6116

Other identifiers 1

IdentifierTypeStateIssuer
100002872MedicaidAL

Other names 1

  • Martin's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111006000448 AL Part B Supplier - Mass Immunization (Roster Biller Only) 4284806662 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anniston, AL; Oxford, AL; Wedowee, AL

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2100195Martin's Pharmacy610 Quintard Dr, Oxford, AL 36203Certificate of waiverAug 10, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Pharmacy Inc610 Quintard Dr, Oxford, AL 36203-1840(256) 831-6116 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Penile Pumps|Ostomy Supplies|Urological Supplies|Enteral Nutr… Accepts assignmentParticipating since Sep 1, 2011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1356439079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 QUINTARD DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031840",
            "telephone_number": "256-831-6116",
            "fax_number": "866-833-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 QUINTARD DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031840",
            "telephone_number": "256-831-6116",
            "fax_number": "866-833-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-831-6116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002872",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.