Active NPI
Beau Joshua Martinez
- Pharmacist
- Atlanta, GA
National Provider Identifier
1598306144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030760
- Practice address
- 50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105 - Phone
- (404) 818-0075
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- 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 | RPH030760 | GA | Primary |
Addresses
Primary practice location
50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105
Mailing address
50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105
Phone (404) 818-0075
Other practice location 1
2111 Campbellton Rd SW
Atlanta, GA 30311-4605
Phone (404) 755-4232
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 |
|---|---|---|---|
| RPH030760 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Food & Pharmacy LLC | Current | Accepting new patients | |
| Express Food & Pharmacy LLC | Past | Accepting new patients | |
| Express Food & Pharmacy Investment LLC | Past | Accepting new patients |
Locations
50 Upper Alabama St SW
Ste 92
Atlanta, GA 30303
Phone (404) 818-0075
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Express Food & Pharmacy
- Long Term Care Pharmacy
- Atlanta, GA
- NPI 1770115339
-
dba Express food and Pharmacy
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1285022277
-
dba Express Food & Pharmacy
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1275963209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1598306144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UPPER ALABAMA ST SW STE 92",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033105",
"telephone_number": "404-818-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UPPER ALABAMA ST SW STE 92",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033105",
"telephone_number": "404-818-0075"
}
],
"practiceLocations": [
{
"address_1": "2111 Campbellton Rd SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303114605",
"country_code": "US",
"telephone_number": "404-755-4232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "BEAU",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.