Organization Active NPI

R & L Martin LLC

  • Community/Retail Pharmacy
  • Edmond, OK
National Provider Identifier
1376957639
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1-6725 Issued in OK
Legal business name
R & L MARTIN LLC
Practice address
410 W Edmond Rd
Edmond, OK 73003-5602
Phone
(405) 341-1504
Fax
(405) 341-1506
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Randy Martin
Title
Managing Member
Phone
(405) 341-1504

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1-6725 OK Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

410 W Edmond Rd
Edmond, OK 73003-5602

Mailing address

410 W Edmond Rd
Edmond, OK 73003-5602
Phone (405) 341-1504

Other identifiers 2

IdentifierTypeStateIssuer
100235760AMedicaidOK
2152470OtherPK

Other names 1

  • Barrett Drug Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1376957639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W EDMOND RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035602",
            "telephone_number": "405-341-1504",
            "fax_number": "405-341-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W EDMOND RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035602",
            "telephone_number": "405-341-1504",
            "fax_number": "405-341-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & L MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-341-1504"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-6725",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235760A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barrett Drug Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.