Active NPI
Gary Martin, RPH
- Pharmacist
- Pineville, LA
National Provider Identifier
1801927843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15028
- Practice address
- 242 W Shamrock St
Building 1
Pineville, LA 71360 - Phone
- (318) 484-6234
- Fax
- (318) 484-6881
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- 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 | 15028 | LA | Primary |
Addresses
Primary practice location
242 W Shamrock St
Building 1
Pineville, LA 71360
Mailing address
PO Box 112
Glenmora, LA 71433-0112
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15028 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801927843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "GLENMORA",
"state": "LA",
"postal_code": "714330112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 W SHAMROCK ST",
"address_2": "BUILDING 1",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-484-6234",
"fax_number": "318-484-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GARY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.