Individual provider Active NPI

Garrette Martin-Yeboah, PHARMD, MPH

  • Pharmacist
  • Cockeysville, MD
National Provider Identifier
1679192223
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15771 Issued in MD
Practice address
10404 Ridgland Rd
Cockeysville, MD 21030-2701
Phone
(443) 622-4735
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15771 MD Primary

Addresses

Primary practice location

10404 Ridgland Rd
Cockeysville, MD 21030-2701

Mailing address

10404 Ridgland Rd
Cockeysville, MD 21030-2701
Phone (443) 622-4735

Other identifiers 1

IdentifierTypeStateIssuer
12345OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gfpharm1@hotmail.com

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
15771MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1679192223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 RIDGLAND RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302701",
            "telephone_number": "443-622-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 RIDGLAND RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302701",
            "telephone_number": "443-622-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-YEBOAH",
        "first_name": "GARRETTE",
        "credential": "PHARMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "12345",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gfpharm1@hotmail.com",
            "affiliation": "N",
            "address_1": "10404 Ridgland Rd",
            "city": "Cockeysville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210302701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.