Individual provider Active NPI

Martha Claire Collins, PHARMD

  • Pharmacist
  • Camilla, GA
National Provider Identifier
1952064149
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH032866 Issued in GA
Practice address
92 E Broad St
Camilla, GA 31730-1832
Phone
(229) 522-3040
Fax
(229) 522-3074
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH032866 GA Primary

Addresses

Primary practice location

92 E Broad St
Camilla, GA 31730-1832

Mailing address

PO Box 424
Camilla, GA 31730-0424
Phone (229) 522-3040

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
RPH032866GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Professional Services, LLC CurrentSince Oct 17, 2021 Accepting new patients
Camilla Drug Company, LLC PastSince Oct 17, 2021 Accepting new patients

Locations

92 E Broad St
Camilla, GA 31730
Phone (229) 336-8474

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1952064149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317300424",
            "telephone_number": "229-522-3040",
            "fax_number": "229-522-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301832",
            "telephone_number": "229-522-3040",
            "fax_number": "229-522-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARTHA",
        "middle_name": "CLAIRE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.