Active NPI
Macy Martin
- Pharmacist
- College Station, TX
National Provider Identifier
1871283655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42168
- Practice address
- 949 William D Fitch Pkwy
College Station, TX 77845-4638 - Phone
- (979) 690-4690
- NPI assigned
- May 15, 2023
- 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 | 183500000X | 42168 | TX | Primary |
Addresses
Primary practice location
949 William D Fitch Pkwy
College Station, TX 77845-4638
Mailing address
926 Excalibur Dr
Highland Village, TX 75077-1818
Phone (972) 345-0620
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 |
|---|---|---|---|
| 42168 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- College Station, TX
- NPI 1831402577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1871283655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 EXCALIBUR DR",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750771818",
"telephone_number": "972-345-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 WILLIAM D FITCH PKWY",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454638",
"telephone_number": "979-690-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "42168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.