DR. ERIC R MARTIN (NPI# 1467686873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467686873 |
| Entity Type | Individual |
| Full Name | DR. ERIC R MARTIN |
| Credential | PHARM.D. |
| Practice Address |
Broadway At 14th St. Quincy IL 62301 |
| Practice Telephone | 2172238400 |
| Practice Fax Number | 2172236897 |
| Mailing Telephone | 2172238400 |
| Mailing Fax Number | 2172236897 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051293242 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184925 | Eric Martin | Dentist | 223 S Pleasant Ave Ste 303, Somerset, PA 15501-2188 | 2017-06-18 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1932338647 | Eric Douglas Martin | Counselor | 7209j E Wt Harris Blvd # 199, Charlotte, NC 28227-1008 | 2009-07-02 |
| 1639371750 | Eric Martin | Dentist | 3254 Deer Hollow Dr, Sandy, UT 84092-6506 | 2007-06-01 |
| 1447335682 | Eric Anton Martin | Dentist | 895 Moraga Rd Ste 6, Lafayette, CA 94549-5039 | 2006-10-26 |
| 1912919069 | Eric Lee Martin | Chiropractor | 2756 Veach Rd, Owensboro, KY 42303-6219 | 2006-08-13 |
| 1366472219 | Eric S. Martin | Dentist | 530 Hawthorn St, Dartmouth, MA 02747-3717 | 2006-07-04 |
| 1366415929 | Eric Christopher Martin | Optometrist | 2268 Kresge Dr, Amherst, OH 44001-1260 | 2006-02-13 |
| 1710453675 | Eric Joseph Martin | Community/Behavioral Health | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2018-10-18 |
| 1104276310 | Eric Lee Martin | Family Medicine | 615 S New Ballas Rd, Family Medicine, Saint Louis, MO 63141-8221 | 2016-06-18 |
| Street Address |
BROADWAY AT 14TH ST. |
| City | QUINCY |
| State | IL |
| Zip Code | 62301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| 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 |
|---|---|---|---|---|
| 1194324327 | Karen Marie Hooley | Pharmacist | 57 Hilda St Apt 4, Quincy, MA 02169-1348 | 2020-10-19 |
| 1811464795 | David Tran | Pharmacist | 814 13th Ave Sw, Quincy, WA 98848-9149 | 2018-10-29 |
| 1518335363 | Tammy Thai | Pharmacist | 50 Desmoines Rd Unit 2e, Quincy, MA 02169-8767 | 2015-09-10 |
| 1912348418 | Ryan Thurm | Pharmacist | 1825 Cherry St, Quincy, IL 62301-2113 | 2013-07-12 |
| 1164705018 | Matthew Moy | Pharmacist | 418 Quincy Avenue, Quincy, MA 02184 | 2011-09-27 |
| 1730481235 | Mark Stephen Le Roy | Pharmacist | 2270 Clear Creek Rd, Quincy, CA 95971-9734 | 2010-12-03 |
| 1154634848 | Christopher Le | Pharmacist | 343 Newport Ave, Quincy, MA 02170 | 2010-07-22 |
| 1639497126 | David Z Yu | Pharmacist | 500 Washington St Apt 506, Quincy, MA 02169 | 2010-05-10 |
| 1245557057 | Cindy Thanh Duong | Pharmacist | 475 Hancock St, Quincy, MA 02171-2414 | 2010-05-03 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in QUINCY | ||||
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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.