Active NPI
Martin's Pharmacy of Christiansburg Inc
- Community/Retail Pharmacy
- Christiansburg, VA
National Provider Identifier
1871343301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MARTIN'S PHARMACY OF CHRISTIANSBURG INC
- Doing business as
- Martin's Pharmacy of Christiansburg Inc
- Practice address
- 2145 Roanoke Street
Christiansburg, VA 24073 - Phone
- (540) 299-1177
- Fax
- (540) 299-1127
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Candice Dalton, PHARMD
- Title
- Pharmacist
- Phone
- (540) 980-4060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
2145 Roanoke Street
Christiansburg, VA 24073
Mailing address
PO Box 699
Pulaski, VA 24301-0699
Phone (540) 299-1177
Other names 1
- Martin's Pharmacy of Christiansburg Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250106001919 | VA | Part B Supplier - Pharmacy | 6002344991 | Practice locations: Christiansburg, VA |
National Provider Directory
National Provider DirectoryLocations
2145 Roanoke St
Christiansburg, VA 24073
Phone (540) 299-1177
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Richmond, VA
- NPI 1194027029
-
- Pharmacist
- Pulaski, VA
- NPI 1760139281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1871343301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "PULASKI",
"state": "VA",
"postal_code": "243010699",
"telephone_number": "540-299-1177",
"fax_number": "540-299-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 ROANOKE STREET",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "24073",
"telephone_number": "540-299-1177",
"fax_number": "540-299-1127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN'S PHARMACY OF CHRISTIANSBURG INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-22",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "540-980-4060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin's Pharmacy of Christiansburg Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.