Active NPI
Peggy McNeill Martin, RPH
- Pharmacist
- Tabor City, NC
National Provider Identifier
1871850263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4346
- Practice address
- 808 E 5TH St
Tabor City, NC 28463-2200 - Phone
- (910) 653-3562
- Fax
- (910) 653-9782
- NPI assigned
- Apr 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6955 | NC | |
| Pharmacist | 183500000X | 4346 | SC | Primary |
Addresses
Primary practice location
808 E 5TH St
Tabor City, NC 28463-2200
Mailing address
808 E 5TH St
Tabor City, NC 28463-2200
Phone (910) 653-3562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6955 | NC | MD | Pharmacist |
| 4346 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1871850263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 E 5TH ST",
"city": "TABOR CITY",
"state": "NC",
"postal_code": "284632200",
"telephone_number": "910-653-3562",
"fax_number": "910-653-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 E 5TH ST",
"city": "TABOR CITY",
"state": "NC",
"postal_code": "284632200",
"telephone_number": "910-653-3562",
"fax_number": "910-653-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PEGGY",
"middle_name": "MCNEILL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "6955",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tabor City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.