Individual provider Active NPI

William M Martin, R.PH.

  • Pharmacist
  • Bloomington, IL
National Provider Identifier
1912957093
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51027405 Issued in IL
Practice address
203 E Locust St
Suite 1
Bloomington, IL 61701-3077
Phone
(309) 828-2242
Fax
(309) 827-4638
NPI assigned
May 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51027405 IL Primary

Addresses

Primary practice location

203 E Locust St
Suite 1
Bloomington, IL 61701-3077

Mailing address

203 E Locust St
Bloomington, IL 61701-8432
Phone (309) 828-2242

Other identifiers 1

IdentifierTypeStateIssuer
51027405OtherILPHAMACIST LIC NUMBER

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
51027405ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Il Medical Equipment, Inc. Current Accepting new patients
Merle Pharmacy No. 1, Inc. Current Accepting new patients

Locations

203 E Locust St
Ste 1
Bloomington, IL 61701
Phone (309) 828-2242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912957093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E LOCUST ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617018432",
            "telephone_number": "309-828-2242",
            "fax_number": "309-827-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E LOCUST ST",
            "address_2": "SUITE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013077",
            "telephone_number": "309-828-2242",
            "fax_number": "309-827-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51027405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHAMACIST LIC NUMBER",
            "identifier": "51027405",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.