Active NPI
Martha Ford
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Cold Spring, KY
National Provider Identifier
1568095909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 010936
- Practice address
- 375 Crossroads Boulevard
Cold Spring, KY 41076 - Phone
- (859) 448-1220
- NPI assigned
- Feb 13, 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 010936 | KY | Primary |
Addresses
Primary practice location
375 Crossroads Boulevard
Cold Spring, KY 41076
Mailing address
26 Azalea Ter
Fort Thomas, KY 41075-1405
Phone (513) 315-0799
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | martha.ford@stores.kroger.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010936 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1568095909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 AZALEA TER",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751405",
"telephone_number": "513-315-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 CROSSROADS BOULEVARD",
"city": "COLD SPRING",
"state": "KY",
"postal_code": "41076",
"telephone_number": "859-448-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "MARTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "010936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "martha.ford@stores.kroger.com",
"affiliation": "N",
"endpointDescription": "store email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "375 Crossroads Boulevard",
"city": "Cold Spring",
"state": "KY",
"country_code": "US",
"postal_code": "41076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cold Spring, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.