Martin Edward Cherry, RPH
Individual provider Active NPI Pharmacist · Wheeler, OR
NPI 1821031154 · NPPES record last updated Jan 31, 2017
Key facts
- NPI
- 1821031154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12532 (OH)
- Practice address
- 230 Rowe
Wheeler, OR 97141 - Phone
- (503) 368-7455
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12532 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12532 | OH | Yes |
Addresses
Primary practice location
230 Rowe
Wheeler, OR 97141
Mailing address
2375 Cape Meares Loop
Tillamook, OR 97141
Phone (419) 340-8539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3441297 | Medicaid | NC |
Other providers in Wheeler, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.