Individual provider Active NPI

Clarence J Martin, MARTINS PHARMACY RPH

  • Pharmacist
  • Cold Spring, KY
National Provider Identifier
1871500348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
005943 Issued in KY
Practice address
3800 Alexandria Pike
Cold Spring, KY 41076
Phone
(859) 441-5181
Fax
(859) 441-5549
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 005943 KY Primary
Pharmacist 183500000X P00283 KY

Addresses

Primary practice location

3800 Alexandria Pike
Cold Spring, KY 41076

Mailing address

3800 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-5181

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
005943KYMDPharmacist
P00283KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martins Pharmacy 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871500348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 ALEXANDRIA PIKE",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-441-5181",
            "fax_number": "859-441-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ALEXANDRIA PIKE",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-441-5181",
            "fax_number": "859-441-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CLARENCE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MARTINS PHARMACY RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "005943",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "P00283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.