ROBERTA JO MARTIN (NPI# 1871107698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871107698 |
| Entity Type | Individual |
| Full Name | ROBERTA JO MARTIN |
| Credential | PHARMD |
| Practice Address |
1311 N State Route 48 Decatur IL 62526-3701 |
| Mailing Address |
425 N Kickapoo St Lincoln IL 62656-2139 |
| Practice Telephone | 2174291988 |
| Practice Fax Number | 2174299577 |
| Mailing Telephone | 2178714907 |
| Mailing Fax Number | 2174299577 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051.300115 | IL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051300115 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1598003493 | Roberta Martin | Family Medicine | 5029 Sw 71st Pl, Miami, FL 33155-5606 | 2013-01-28 |
| 1972531689 | Roberta Martin | Social Worker | 42189 Ann Arbor Rd E, Plymouth, MI 48170-4370 | 2006-06-29 |
| 1528524121 | Roberta Ruth Martin | Physical Therapist | 4800 Mexico Rd Ste 104, Saint Peters, MO 63376-1666 | 2019-02-19 |
| 1093988958 | Roberta Martin | Counselor | 100 Rivendell Dr, Benton, AR 72019-9188 | 2008-04-10 |
| 1760500243 | Roberta Martin | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-03-26 |
| 1083760243 | Roberta Lynn Martin | Counselor | 4400 E West Hwy, Suite 26, Bethesda, MD 20814-4524 | 2007-01-28 |
| Street Address |
1311 N STATE ROUTE 48 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195181 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1311 N State Route 48, Decatur, IL 62526-3701 | 2006-07-31 |
| 1649662750 | Falguni Rana | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2015-02-26 |
| 1942549308 | Matthew L Krager | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2013-02-05 |
| 1316215247 | Erin K Schlosser | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2011-12-06 |
| 1306114509 | John Eugene Mccoy I | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2011-12-02 |
| 1396013694 | Kimberly Ann Crawford | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2011-12-01 |
| 1316214034 | Mesha Fields | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2011-11-23 |
| 1912274754 | Carlton Dean | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2011-11-22 |
| 1285917617 | Michael Gerhard Ufkes | Pharmacist | 1311 N State Route 48, Decatur, IL 62526-3701 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515927 | Kristin Lynne Mcdonald | Pharmacist | 82 Deerfield Ln, Decatur, MS 39327-8977 | 2020-07-06 |
| 1629699699 | Samantha Camille Ricks | Pharmacist | 2641 E College Ave Apt 736, Decatur, GA 30030-3380 | 2020-04-30 |
| 1447886056 | Sawapha Verduci | Pharmacist | 1375 Thomas Rd, Decatur, GA 30030-4622 | 2020-03-14 |
| 1386280949 | Kelsie Burner | Pharmacist | 1818 Airport Plz, Decatur, IL 62521-9717 | 2019-11-19 |
| 1699319541 | Thao Trinh Nguyen | Pharmacist | 1130 N Jamestown Rd Apt 305, Decatur, GA 30033-7118 | 2019-11-04 |
| 1770067506 | Abdul Wahab | Pharmacist | 3517 Clubhouse Cir E Apt A, Decatur, GA 30032-2006 | 2018-09-18 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1639604408 | Mahesh Patel | Pharmacist | 2579 Lawrenceville Hwy, Decatur, GA 30033-3206 | 2017-04-28 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1831568278 | Omeka Clark | Pharmacist | 1670 Clairmont Road (119), Decatur, GA 30033 | 2015-09-16 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.