Organization Active NPI

Martin Drug Co LLC

  • Community/Retail Pharmacy
  • Newbury, OH
National Provider Identifier
1891850483
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARTIN DRUG CO LLC
Doing business as
Newbury Pharmacy
Practice address
10760 Kinsman Rd
Newbury, OH 44065
Phone
(440) 564-5332
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Robert S Martin
Title
Chief Pharmacist
Phone
(440) 564-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X OH Primary

Addresses

Primary practice location

10760 Kinsman Rd
Newbury, OH 44065

Mailing address

PO Box 264
Newbury, OH 44065-0264
Phone (440) 564-5332

Other identifiers 2

IdentifierTypeStateIssuer
3632026OtherNABP NUMBER
2770863MedicaidOH

Other names 1

  • Newbury Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

10760 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5332

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1891850483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440650264",
            "telephone_number": "440-564-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 KINSMAN RD",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "44065",
            "telephone_number": "440-564-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DRUG CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "440-564-5332"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3632026",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2770863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newbury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.