Active NPI
Stephen A Martin
- Pharmacotherapy Pharmacist
- Lumberton, NC
National Provider Identifier
1689650681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 10109
- Practice address
- 1150 Pine Run Dr
Lumberton, NC 28358-2118 - Phone
- (910) 671-5719
- NPI assigned
- Dec 21, 2005
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 10109 | NC | Primary |
Addresses
Primary practice location
1150 Pine Run Dr
Lumberton, NC 28358-2118
Mailing address
202 Barker Ten Mile Rd
Lumberton, NC 28358-5883
Phone (910) 671-5719
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10109 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689650681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 BARKER TEN MILE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283585883",
"telephone_number": "910-671-5719",
"fax_number": "910-671-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 PINE RUN DR",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582118",
"telephone_number": "910-671-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "10109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.