Active NPI
Alan James Martin, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Los Osos, CA
National Provider Identifier
1386615474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 37337
- Practice address
- 989 Los Osos Valley Rd
Los Osos, CA 93402-3205 - Phone
- (805) 528-1017
- Fax
- (805) 528-1915
- NPI assigned
- Jan 28, 2006
- Last updated
- Apr 28, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 37337 | CA | Primary |
Addresses
Primary practice location
989 Los Osos Valley Rd
Los Osos, CA 93402-3205
Mailing address
3186 Rose Ave
San Luis Obispo, CA 93401-5905
Phone (805) 305-2085
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascencion Inc | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1386615474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3186 ROSE AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934015905",
"telephone_number": "805-305-2085",
"fax_number": "805-541-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 LOS OSOS VALLEY RD",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023205",
"telephone_number": "805-528-1017",
"fax_number": "805-528-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "37337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.