Active NPI
Jennifer Marie Martin, PHARMD
- Pharmacist
- Reno, NV
National Provider Identifier
1649875667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20723
- Practice address
- 1081 Steamboat Pkwy
Reno, NV 89521-6238 - Phone
- (775) 852-2111
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- 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 | 20723 | NV | Primary |
Addresses
Primary practice location
1081 Steamboat Pkwy
Reno, NV 89521-6238
Mailing address
850 Arrowcreek Pkwy Unit 31513
Reno, NV 89511-5482
Phone (208) 350-3171
Other practice location 1
850 Arrowcreek Pkwy Unit 31513
Reno, NV 89511-5482
Phone (208) 350-3171
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RxConnect | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20723 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Nevada CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1649875667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 ARROWCREEK PKWY UNIT 31513",
"city": "RENO",
"state": "NV",
"postal_code": "895115482",
"telephone_number": "208-350-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 STEAMBOAT PKWY",
"city": "RENO",
"state": "NV",
"postal_code": "895216238",
"telephone_number": "775-852-2111"
}
],
"practiceLocations": [
{
"address_1": "850 Arrowcreek Pkwy Unit 31513",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895115482",
"country_code": "US",
"telephone_number": "208-350-3171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20723",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RxConnect",
"affiliation": "N",
"endpointDescription": "CVS database/software",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1081 Steamboat Pkwy",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895216238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.