Martin Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010141 Issued in MI

Legal business name

MARTIN PHARMACY LLC

Practice address

4130 Clio Rd Ste B
Flint, MI 48504-6011

Phone

(810) 785-1000

Fax

(810) 785-1001

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Ashfaq M Hussain, R. PH.

Title

Ceo

Phone

(201) 638-9538

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1427392190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 OLD TIMBER TRL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322122",
            "telephone_number": "810-732-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 CLIO RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046011",
            "telephone_number": "810-785-1000",
            "fax_number": "810-785-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ASHFAQ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-638-9538",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Elizbeth-Ann Marshall, LPC
• Jolene Julie Marshall
• Morgan Marshall
• Marta Bonkowski, M.D., P.C.
• Jorene Marth, MA, RD
• Martin W. Werschky, DDS
• Beau Martin, BS
• Britt Heath Martin, BOCO
• Christine Martin
• Curtis Martin, MD

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.