Organization Active NPI

Martin's Pharmacy of Christiansburg Inc

  • Community/Retail Pharmacy
  • Christiansburg, VA
National Provider Identifier
1871343301
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106001919 VA Part B Supplier - Pharmacy 6002344991 Practice locations: Christiansburg, VA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.