Durand Dale Martin Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

47447 Issued in TN

Practice address

8046 Macon Rd
Cordova, TN 38018-8531

Phone

(901) 753-1331

NPI assigned

Sep 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1689401697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 PATINA DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380174519",
            "telephone_number": "901-605-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188531",
            "telephone_number": "901-753-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DURAND",
        "middle_name": "DALE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "47447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Marshall
• Martha a Gordon, MD, PC
• Ashley Martin, PHARMD
• Carolyn C Martin, PHD
• Cornelius Martin
• Elizabeth Martin
• Laura Simmons Martin, M.A., CCC-SLP
• Paula M Martin, FNP-C
• Ronald Martin, M.D.
• Vivica Martin

• Pharmacist in Cordova, TN
• Providers in Cordova, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.