Individual provider Active NPI

Marybeth Marten, PHARM.D.

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1922279066
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13800 Issued in AZ
Practice address
4249 W Glendale Ave
Walgreens Pharmacy
Phoenix, AZ 85051-8137
Phone
(623) 937-9231
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13800 AZ Primary

Addresses

Primary practice location

4249 W Glendale Ave
Walgreens Pharmacy
Phoenix, AZ 85051-8137

Mailing address

15437 N 30TH Ave
Phoenix, AZ 85053-4004
Phone (602) 938-1473

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
13800AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1922279066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15437 N 30TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534004",
            "telephone_number": "602-938-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 W GLENDALE AVE",
            "address_2": "WALGREENS PHARMACY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518137",
            "telephone_number": "623-937-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEN",
        "first_name": "MARYBETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "13800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.