Brandon Adriel Martin, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

1999141493 Issued in MO

Practice address

441 N Kirkwood Rd
Kirkwood, MO 63122-3911

Phone

(314) 965-7944

Fax

(314) 909-7121

NPI assigned

Oct 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1598040909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7029 ETZEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631302458",
            "telephone_number": "314-721-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631223911",
            "telephone_number": "314-965-7944",
            "fax_number": "314-909-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRANDON",
        "middle_name": "ADRIEL",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "1999141493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Elizabeth Mansker, MA, LPC
• Julian Marasigan, PLPC
• Devin Eleanor Maret, RBT
• Maria D Sabio, MD, PC
• Mark Taylor D.M.D P.C.
• Matthew Marx, RPH
• Mary Jane Lane LMFT LLC
• Dylan Mason, PROVISIONAL BCABA
• Katherine Mason, LMSW
• Mark A Mason, MD

• Pharmacist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.