Martha S Mazur-Lane, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

41875 Issued in CA

Practice address

1275 Airport Park Blvd
Ukiah, CA 95482-7400

Phone

(707) 313-8014

Fax

(707) 313-8005

NPI assigned

Aug 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1497069264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SANTA ROSA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077621",
            "telephone_number": "707-578-1711",
            "fax_number": "707-578-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 AIRPORT PARK BLVD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954827400",
            "telephone_number": "707-313-8014",
            "fax_number": "707-313-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Santa Rosa Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954077621",
            "country_code": "US",
            "telephone_number": "707-578-1711",
            "fax_number": "707-578-6287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUR-LANE",
        "first_name": "MARTHA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "41875",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "41875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Anne Matson, CNM
• Jill Marie Mattern
• Matthew Jeffers DDS
• Donna Lee Matthews
• Amy Mattiuzzo
• Marlene H McBride, DNP
• Maria McCarthy, MA, MFT
• Rosemarie Serrano McChesney, LMT
• Kathryn-Lee McClellan
• Mary Ann McCorquodale, CGBA

• Pharmacist in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.