Active NPI
Michael Bryan St Martin, PHARMD
- Pharmacist
- Hibbing, MN
National Provider Identifier
1659066231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125924
- Practice address
- 1130 E 37TH St
Hibbing, MN 55746-2962 - Phone
- (218) 262-1358
- Fax
- (218) 262-3238
- NPI assigned
- Apr 10, 2023
- 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 | 125924 | MN | Primary |
Addresses
Primary practice location
1130 E 37TH St
Hibbing, MN 55746-2962
Mailing address
1130 E 37TH St
Hibbing, MN 55746-2962
Phone (218) 262-1358
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 |
|---|---|---|---|
| 125924 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1130 E 37th St
Hibbing, MN 55746
Phone (218) 259-9154
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": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1659066231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 E 37TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462962",
"telephone_number": "218-262-1358",
"fax_number": "218-262-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 E 37TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462962",
"telephone_number": "218-262-1358",
"fax_number": "218-262-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST MARTIN",
"first_name": "MICHAEL",
"middle_name": "BRYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.