Martins Pharmacy of Dublin
Organization Active NPI Pharmacy · Dublin, VA
NPI 1811517592 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1811517592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- MARTINS PHARMACY OF DUBLIN
- Practice address
- 180 Broad St
Dublin, VA 24084 - Phone
- (540) 518-7088
- Fax
- (540) 307-5601
- NPI assigned
- Apr 22, 2020
- Organization subpart
- No
Authorized official
- Name
- Ashley Williams, PHARM. D.
- Title
- Pharmacist in Charge
- Phone
- (540) 518-7088
Practitioners 1
-
Ashley Williams, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Martins Pharmacy of Dublin |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210217001584 | VA | DME Supplier - Pharmacy | 7315352713 | Practice locations: Dublin, VA |
| O20210415002131 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315352713 | Practice locations: Dublin, VA |
National Provider Directory
Locations
180 Broad St
Dublin, VA 24084
Phone (540) 518-7088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
180 Broad St
Dublin, VA 24084
Mailing address
PO Box 699
Pulaski, VA 24301-0699
Phone (540) 518-7088
Other providers in Dublin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.