Active NPI
Brittany Martin
- Pharmacist
- Versailles, MO
National Provider Identifier
1447081443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2024031165
- Practice address
- 1003 W Newton St
Versailles, MO 65084-1813 - Phone
- (573) 378-5421
- NPI assigned
- Aug 12, 2024
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 183500000X | 2024031165 | MO | Primary |
Addresses
Primary practice location
1003 W Newton St
Versailles, MO 65084-1813
Mailing address
30 Tina Lee Dr
Eldon, MO 65026-4450
Phone (573) 433-9487
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024031165 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1447081443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 TINA LEE DR",
"city": "ELDON",
"state": "MO",
"postal_code": "650264450",
"telephone_number": "573-433-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W NEWTON ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841813",
"telephone_number": "573-378-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2024031165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.