KENNETH KEVIN MARTIN (NPI# 1578122065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578122065 |
| Entity Type | Individual |
| Full Name | KENNETH KEVIN MARTIN |
| Practice Address |
700 Scott and White Dr # 1.112 College Station TX 77845-6441 |
| Practice Telephone | 9792070120 |
| Practice Fax Number | 9792070128 |
| Mailing Telephone | 9792070120 |
| Mailing Fax Number | 9792070128 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33390 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232579 | Kenneth Martin | Technician | 138 Ivy Rd, Lerona, WV 25971 | 2020-10-09 |
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
| 1154475952 | Kenneth Michael Martin | Physical Therapist | 2700 Lake Villa Dr Ste 100, Metairie, LA 70002-6782 | 2007-01-22 |
| 1760557334 | Kenneth R. Martin | Dentist | 694 S Willow Ave, Cookeville, TN 38501-3882 | 2006-11-21 |
| 1093899007 | Kenneth Leon Martin | Counselor | 105 Paces Brook Ave, #10518, Columbia, SC 29212-1642 | 2006-10-25 |
| 1245261809 | Kenneth J Martin | Marriage & Family Therapist | 564 Market St, Suite 410, San Francisco, CA 94104-5404 | 2006-07-05 |
| 1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
| 1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
| 1528057726 | Kenneth Edward Martin | Chiropractor | 9130 Las Tunas Dr, Temple City, CA 91780-1903 | 2005-10-19 |
| Street Address |
700 SCOTT AND WHITE DR # 1.112 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| 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 |
|---|---|---|---|---|
| 1255944302 | Ojong-tabong Bate | Pharmacist | 1811 George Bush Dr E Apt 223, College Station, TX 77840-3374 | 2020-08-28 |
| 1174132245 | Ryan Robinson | Pharmacist | 11675 Fm 2154 Rd, College Station, TX 77845-4737 | 2020-07-24 |
| 1386982312 | Maikel Gadelsayed | Pharmacist | 530 Forest Dr, 1, College Station, TX 77840-0230 | 2013-01-25 |
| 1033495312 | John Murski | Pharmacist | 700 Scott and White Dr Ste 112, College Station, TX 77845-6441 | 2011-10-31 |
| 1336456482 | Roger Peart | Pharmacist | 949 William D. Fitch, College Station, TX 77845 | 2010-09-10 |
| 1891825907 | Leonard Wayne Marcella | Pharmacist | 1111 Earl Rudder Freeway, College Station, TX 77840 | 2007-03-07 |
| 1316026701 | Aaron Z. Wilton | Pharmacist | 9069 White Creek Rd, College Station, TX 77845-6107 | 2006-11-04 |
| 1407931041 | Steven James Jacoby | Pharmacist | 1110 Earl Rudder Fwy S, College Station, TX 77840-2626 | 2006-10-25 |
| 1184608234 | Robert W Hutchison Jr. | Pharmacist | 319 Srph Administration Building, Ms 1266, College Station, TX 77843-0001 | 2005-12-02 |
| 1710588603 | Mary Lee M Torres | Pharmacist | 1405 Earl Rudder Fwy S, College Station, TX 77845-6033 | 2020-11-05 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on KENNETH KEVIN MARTIN.
| 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.