Active NPI
Megan Lane Martin, PHARMD
- Pharmacist
- Globe, AZ
National Provider Identifier
1659794634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35753
- Practice address
- 100 N Broad St
Globe, AZ 85501-2502 - Phone
- (928) 425-5777
- NPI assigned
- Jan 28, 2014
- 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 | 35753 | TN | Primary |
Addresses
Primary practice location
100 N Broad St
Globe, AZ 85501-2502
Mailing address
622 E Tonto St
Globe, AZ 85501-1145
Phone (731) 571-8233
Other practice location 1
40 N Central Ave
Suite 600
Phoenix, AZ 85004-4424
Phone (928) 475-2371 ext. 7269
Other names 1
- Megan Lane McCullough
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 |
|---|---|---|---|
| 35753 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1659794634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 E TONTO ST",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855011145",
"telephone_number": "731-571-8233",
"fax_number": "928-475-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BROAD ST",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855012502",
"telephone_number": "928-425-5777"
}
],
"practiceLocations": [
{
"address_1": "40 N Central Ave",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850044424",
"country_code": "US",
"telephone_number": "928-475-2371 x7269",
"fax_number": "928-475-7376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "MEGAN",
"middle_name": "LANE",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "35753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "MCCULLOUGH",
"middle_name": "LANE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Globe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.