Individual provider Active NPI

Martha Charles, PHARMD

  • Pharmacist
  • Hilton Head Island, SC
National Provider Identifier
1972155562
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41959 Issued in SC
Practice address
301 Main St
Hilton Head Island, SC 29926-1651
Phone
(843) 689-1333
Fax
(843) 689-1334
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41959 SC Primary

Addresses

Primary practice location

301 Main St
Hilton Head Island, SC 29926-1651

Mailing address

301 Main St
Hilton Head Island, SC 29926-1651

Other identifiers 1

IdentifierTypeStateIssuer
41959OtherBOARD OF PHARMACY PHARMACIST LICENSE

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL EPRN
Other URL EPRN
Other URL s152pha001@harristeeter.com
Other URL EPRN

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
41959SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1972155562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261651",
            "telephone_number": "843-689-1333",
            "fax_number": "843-689-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARTHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "41959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PHARMACIST LICENSE",
            "identifier": "41959",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPRN",
            "affiliation": "N",
            "endpointDescription": "Pharmacy database platform",
            "address_1": "301 Main St",
            "city": "Hilton Head",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299261651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPRN",
            "affiliation": "N",
            "endpointDescription": "Pharmacy database platform",
            "address_1": "301 Main St",
            "city": "Hilton Head",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299261651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "s152pha001@harristeeter.com",
            "affiliation": "N",
            "endpointDescription": "store email",
            "address_1": "301 Main St",
            "city": "Hilton Head",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299261651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPRN",
            "affiliation": "N",
            "endpointDescription": "Pharmacy database platform",
            "address_1": "301 Main St",
            "city": "Hilton Head",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299261651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.