Individual provider Active NPI

Levi Jeh Martin, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Redmond, OR
National Provider Identifier
1639301385
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
0011784 Issued in OR
Practice address
2127 S Highway 97 Ste 150
Redmond, OR 97756-0320
Phone
(206) 413-9475
Fax
(866) 922-4730
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0011784 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0011784 OR Primary

Addresses

Primary practice location

2127 S Highway 97 Ste 150
Redmond, OR 97756-0320

Mailing address

2127 S Highway 97 Ste 150
Redmond, OR 97756-0320
Phone (206) 413-9475

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0011784ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • Direct secure messaging: lmartin812610@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1639301385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 S HIGHWAY 97 STE 150",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560320",
            "telephone_number": "206-413-9475",
            "fax_number": "866-922-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 S HIGHWAY 97 STE 150",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560320",
            "telephone_number": "206-413-9475",
            "fax_number": "866-922-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LEVI",
        "middle_name": "JEH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0011784",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0011784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.