Individual provider Active NPI

Debra Kay Martin, PHARMD

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1407186638
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S014259 Issued in AZ
Practice address
9184 E Valencia Rd
Tucson, AZ 85747-4902
Phone
(520) 574-8328
NPI assigned
Jan 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S014259 AZ Primary

Addresses

Primary practice location

9184 E Valencia Rd
Tucson, AZ 85747-4902

Mailing address

10181 E Corte Madera Fina
Tucson, AZ 85730-5066
Phone (520) 240-3861

Other practice location 1

1145 S Harrison Rd
Tucson, AZ 85748-6650
Phone (520) 296-8427

Other practice location 2

605 W Ajo Way
Tucson, AZ 85713-6047
Phone (520) 294-4683

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

LicenseStateTypeSpecialty
S014259AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Mar 16, 2021 Accepting new patients
Walgreen Co PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1407186638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10181 E CORTE MADERA FINA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305066",
            "telephone_number": "520-240-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9184 E VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857474902",
            "telephone_number": "520-574-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 S Harrison Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857486650",
            "country_code": "US",
            "telephone_number": "520-296-8427",
            "fax_number": "520-296-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 W Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136047",
            "country_code": "US",
            "telephone_number": "520-294-4683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014259",
            "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 Dec 4, 2022; 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.