Martha Lou Molina

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH030896 Issued in GA

Practice address

2425 Memorial Dr
Waycross, GA 31503-6337

Phone

(912) 285-3939

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1598365744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 US HIGHWAY 441 N",
            "city": "PEARSON",
            "state": "GA",
            "postal_code": "316425544",
            "telephone_number": "912-422-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MEMORIAL DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315036337",
            "telephone_number": "912-285-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MARTHA",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalie Jean Minchew, PHARMD
• Caleb Mingo, CAA
• Miss Jos PCH
• Michelle Mitchell, CCC-SLP
• Jacqueline H Moder
• Andrea D Moody, N.P.
• Janna Mullis Moody, APRN
• Lauran Elizabeth Moore, BS, HAD
• Dana Marie Morgan, FNP-BC, PMHNP-BC
• Paul Morgan, LAPC

• Pharmacist in Waycross, GA
• Providers in Waycross, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.