Individual provider Active NPI

Martin Hamilton Bailey, DPH

  • Pharmacist
  • Newport, TN
National Provider Identifier
1508004862
Registry record updated Jan 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4790 Issued in TN
Practice address
771 Cosby Hwy
Newport, TN 37821-3426
Phone
(423) 623-1500
Fax
(423) 625-1196
NPI assigned
Jan 25, 2009
Last updated
Jan 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4790 TN Primary

Addresses

Primary practice location

771 Cosby Hwy
Newport, TN 37821-3426

Mailing address

420 Highway 160
Newport, TN 37821-4739
Phone (423) 623-6492

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

State licenses

LicenseStateTypeSpecialty
4790TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Town & Country Pharmacy Past Accepting new patients
Town & Country Drugs Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232841600000",
    "number": "1508004862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HIGHWAY 160",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378214739",
            "telephone_number": "423-623-6492",
            "fax_number": "423-623-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213426",
            "telephone_number": "423-623-1500",
            "fax_number": "423-625-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARTIN",
        "middle_name": "HAMILTON",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "4790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; 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.