Active NPI
Dana J Martin, P.D.01
- Pharmacist
- Metairie, LA
National Provider Identifier
1730438953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11437
- Practice address
- 1401 Veterans Blvd
Metairie, LA 70005-2734 - Phone
- (504) 834-1570
- Fax
- (504) 833-9148
- NPI assigned
- Sep 4, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11437 | LA | Primary |
Addresses
Primary practice location
1401 Veterans Blvd
Metairie, LA 70005-2734
Mailing address
205 Lancaster Dr
Houma, LA 70360-7159
Phone (985) 876-9494
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 |
|---|---|---|---|
| 11437 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1730438953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LANCASTER DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703607159",
"telephone_number": "985-876-9494",
"fax_number": "985-876-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 VETERANS BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052734",
"telephone_number": "504-834-1570",
"fax_number": "504-833-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DANA",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "P.D.01",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.