Individual provider Active NPI

Kevin F Martian, PHARM.D.

  • Pharmacist
  • Bismarck, ND
National Provider Identifier
1457646374
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5378 Issued in ND
Practice address
303 N 4TH St
Bismarck, ND 58501-4020
Phone
(701) 223-2424
Fax
(701) 258-2849
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5378 ND Primary

Addresses

Primary practice location

303 N 4TH St
Bismarck, ND 58501-4020

Mailing address

303 N 4TH St
Bismarck, ND 58501-4020
Phone (701) 223-2424

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
5378NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Pharmacy Inc Current Accepting new patients
Mayo Pharmacy Inc CurrentSince Feb 2, 2020 Accepting new patients

Locations

303 N 4th St
Bismarck, ND 58501
Phone (701) 223-2424

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1457646374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N 4TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014020",
            "telephone_number": "701-223-2424",
            "fax_number": "701-258-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 4TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014020",
            "telephone_number": "701-223-2424",
            "fax_number": "701-258-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIAN",
        "first_name": "KEVIN",
        "middle_name": "F",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.