Individual provider Active NPI

Beau Joshua Martinez

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1598306144
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030760 Issued in GA
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

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH030760GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Food & Pharmacy LLC CurrentSince Feb 16, 2020 Accepting new patients
Express Food & Pharmacy LLC PastSince Oct 6, 2019 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.

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.

Verify at the official NPI Registry.