MR. DELBERT GARY MARTIN (NPI# 1073627212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073627212 |
| Entity Type | Individual |
| Full Name | MR. DELBERT GARY MARTIN |
| Credential | RPH |
| Practice Address |
6822 East 1000 South Fort Duchesne UT 84026 |
| Practice Telephone | 4357256874 |
| Mailing Telephone | 4357256874 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
341687-1701 | UT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 700000000009 | 05 |
| Street Address |
6822 EAST 1000 SOUTH |
| City | FORT DUCHESNE |
| State | UT |
| Zip Code | 84026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319525 | Lawrence Michael Zubel | Optometrist | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2005-07-08 |
| 1003275777 | Chantelle Remenak | Registered Nurse | 6822 East 1000 South, Fort Duchesne, UT 84026-0160 | 2016-02-23 |
| 1518244086 | Dhhs Ihs Phoenix Area | Clinic/Center | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2011-11-10 |
| 1336379650 | Fort Duchesne Indian Health Center Laboratory | Clinical Medical Laboratory | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2009-07-21 |
| 1306076625 | Fort Duchesne Indian Health Center Radiology | Clinic/Center | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2009-07-21 |
| 1508040015 | Willis Manford Gooch IIi | Pediatrics | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2007-12-19 |
| 1982814471 | Frank Britton Martin | Pharmacist | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2007-05-23 |
| 1063629426 | James Kevin Farrell | Pharmacist | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2007-05-16 |
| 1205051950 | Juanita M Fox | Registered Nurse | 6822 East 1000 South, Fort Duchesne, UT 84026-0160 | 2007-04-16 |
| 1881724417 | Craig Blackham | Dentist | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024347 | Jake Richardson | Dentist | 6932 E 1400 S, Fort Duchesne, UT 84026 | 2019-07-02 |
| 1740736321 | Infinite Quality Care | Assisted Living Facility | 338 W 2600 N, Pleasant Grove, UT 84026 | 2016-09-01 |
| 1225401763 | Ute Tribe Alcohol/substance Abuse Prevention | Community/Behavioral Health | 550 South 6777 East, Fort Duchesne, UT 84026 | 2015-11-05 |
| 1225400534 | Paul Jones | Licensed Practical Nurse | 6822 East / 1000 South, Fort Duchesne, UT 84026 | 2015-10-26 |
| 1932360054 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 6822 E 1000 South, Fort Duchesne, UT 84026 | 2008-06-20 |
| 1821103094 | Bruce Allen Daniel | Dentist | 6822 E 1000 S, Ft. Duchesne, UT 84026 | 2006-08-20 |
| 1922031533 | Ute Indian Tribe | Ambulance | East Highway 40, Ft Duschesne, UT 84026 | 2006-07-08 |
| 1245842962 | Eve O'pray-nichols | Registered Nurse | 6932 E 1400 S, Ft. Duchesne, UT 84026 | 2020-08-24 |
| 1124644430 | Red Pine Rtc | Substance Abuse Rehabilitation Facility | 550 South 6777 East, Fort Duchesne, UT 84026 | 2020-06-23 |
| 1952955478 | Kadee Pitt | Dental Hygienist | 6932 E 1400 S, Ft. Duchesne, UT 84026 | 2019-08-01 |
| Find all providers in zip 84026 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326673336 | Josh Love | Pharmacist | 11188 S Via Encantada Way, South Jordan, UT 84095-8167 | 2020-03-10 |
| 1447615687 | Gabriel Victor Fontaine | Pharmacist | 8030 S 1400 E, Sandy, UT 84093-6609 | 2015-12-15 |
| 1639442858 | Scott Howard Yost | Pharmacist | 10207 S 2165 E, Sandy, UT 84092-4014 | 2012-02-18 |
| 1447424916 | Jonathan Douglas Hoffman | Pharmacist | George E Wahlen Department of Veterans Ctr, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2008-04-16 |
| 1124207493 | Kim Dang | Pharmacist | 50 N Medical Dr Rm A050, Salt Lake City, UT 84132-0001 | 2007-11-02 |
| 1376766279 | Brian Barker | Pharmacist | 50 North Medical Drive (a050), University of Utah Hospital Dept of Pharmacy, Salt Lake City, UT 84123 | 2007-04-10 |
| 1093841272 | Elise Swenson | Pharmacist | 220 S 700 E, Salt Lake City, UT 84102-2106 | 2007-02-24 |
| 1639227713 | Nancy Lee Jewkes | Pharmacist | 25 West Main, Castle Dale, UT 84513 | 2007-01-08 |
| 1457374977 | Lisa L Wright | Pharmacist | 1580 W Antelope Dr Ste 130a, Layton, UT 84041-1173 | 2006-07-25 |
| 1699705558 | Bonnie Kathleen Portley | Pharmacist | Pharmacy Services #119, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT DUCHESNE |
| Zip Code | 84026 |
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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.