Individual provider Active NPI

Martin L Raborn Jr., R.PH.

  • Pharmacist
  • Hillsborough, NJ
National Provider Identifier
1588833008
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02492400 Issued in NJ
Practice address
315 Route 206 North
Pathmark Pharmacy
Hillsborough, NJ 08844
Phone
(908) 431-3070
Fax
(907) 431-4018
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02492400 NJ Primary

Addresses

Primary practice location

315 Route 206 North
Pathmark Pharmacy
Hillsborough, NJ 08844

Mailing address

315 Route 206
North Pathmark Pharmacy
Hillsborough, NJ 08844
Phone (908) 431-3070

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

LicenseStateTypeSpecialty
28RI02492400NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1588833008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ROUTE 206",
            "address_2": "NORTH PATHMARK PHARMACY",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-3070",
            "fax_number": "907-431-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROUTE 206 NORTH",
            "address_2": "PATHMARK PHARMACY",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-3070",
            "fax_number": "907-431-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABORN",
        "first_name": "MARTIN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02492400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.