Active NPI
Sherry Prickett Martin, PHARMD
- Pharmacist
- Columbus, GA
National Provider Identifier
1710984190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20228
- Practice address
- 1831 5TH Ave
Columbus, GA 31904-8915 - Phone
- (706) 321-6672
- Fax
- (706) 321-6695
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13741 | AL | |
| Pharmacist | 183500000X | PS 47072 | FL | |
| Pharmacist | 183500000X | 20228 | GA | Primary |
Addresses
Primary practice location
1831 5TH Ave
Columbus, GA 31904-8915
Mailing address
21 Old Sandfort Rd
Phenix City, AL 36869-2708
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 |
|---|---|---|---|
| 13741 | AL | MD | Pharmacist |
| PS 47072 | FL | MD | Pharmacist |
| 20228 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1710984190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OLD SANDFORT RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368692708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 5TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048915",
"telephone_number": "706-321-6672",
"fax_number": "706-321-6695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SHERRY",
"middle_name": "PRICKETT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13741",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 47072",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "20228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.