Active NPI
Kelsey Martin
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Richmond, VA
National Provider Identifier
1780455204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 44425
- Practice address
- 1201 Broad Rock Blvd
Richmond, VA 23249-4606 - Phone
- (804) 675-5000
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 44425 | TN | Primary |
Addresses
Primary practice location
1201 Broad Rock Blvd
Richmond, VA 23249-4606
Mailing address
1119 Huntersdell Ter
North Chesterfield, VA 23235-4575
Phone (573) 579-5930
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 |
|---|---|---|---|
| 44425 | TN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1780455204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 HUNTERSDELL TER",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354575",
"telephone_number": "573-579-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232494606",
"telephone_number": "804-675-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TN",
"license": "44425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.