Organization Active NPI

James B. Martin M.D. LLC

  • Community/Retail Pharmacy
  • Ocean Springs, MS
National Provider Identifier
1417178740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MS5001 Issued in MS
Legal business name
JAMES B. MARTIN M.D. LLC
Practice address
1103 Hanley Rd
Ocean Springs, MS 39564-3108
Phone
(228) 875-3097
Fax
(228) 875-3299
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Clark Levi
Title
Owner
Phone
(228) 875-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X MS5001 MS Primary

Addresses

Primary practice location

1103 Hanley Rd
Ocean Springs, MS 39564-3108

Mailing address

1103 Hanley Rd
Ocean Springs, MS 39564-3108
Phone (228) 875-3097

National Provider Directory

National Provider Directory
Tax ID family
James B Martin MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1103 Hanley Rd
Ocean Springs, MS 39564
Phone (228) 818-9161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417178740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HANLEY RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643108",
            "telephone_number": "228-875-3097",
            "fax_number": "228-875-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 HANLEY RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643108",
            "telephone_number": "228-875-3097",
            "fax_number": "228-875-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B. MARTIN M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-3097"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "MS5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.