Active NPI
Martina Karam Aiad Nasralla, RPH
- Pharmacist
- Lawrenceburg, TN
National Provider Identifier
1508485061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43714
- Practice address
- 312 E Gaines St
Lawrenceburg, TN 38464-3532 - Phone
- (931) 762-6840
- NPI assigned
- Apr 14, 2020
- Last updated
- Apr 14, 2020
- 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 | 43714 | TN | Primary |
Addresses
Primary practice location
312 E Gaines St
Lawrenceburg, TN 38464-3532
Mailing address
6849 Hickory Rim CT
Antioch, TN 37013-5690
Phone (615) 608-8986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43714 | Other | TN | TENNESSEE BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43714 | TN | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1508485061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6849 HICKORY RIM CT",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370135690",
"telephone_number": "615-608-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E GAINES ST",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643532",
"telephone_number": "931-762-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASRALLA",
"first_name": "MARTINA",
"middle_name": "KARAM AIAD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "43714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF PHARMACY",
"identifier": "43714",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.