MR. SHANE M MARTIN (NPI# 1588842843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588842843 |
| Entity Type | Individual |
| Full Name | MR. SHANE M MARTIN |
| Credential | PHARM. D |
| Practice Address |
52d Medical Group Unit 3865 Apo AE 09126-3865 |
| Mailing Address |
7219 N Litchfield Road 56 Medical Group Luke Afb AZ 85309-1525 |
| Practice Telephone | 011496565618157 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2013-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17769 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952815532 | Shane Martin | Registered Nurse | 2110 Augusta St, Eugene, OR 97403-2202 | 2017-11-19 |
| 1417439092 | Shane Douglas Martin | Counselor | 1333 Nw 9th St, Prineville, OR 97754-1482 | 2018-08-30 |
| 1235421090 | Shane Martin | Rehabilitation Practitioner | 100 Rosaschi Rd, Yerington, NV 89447-8722 | 2011-05-11 |
| 1386872588 | Shane Douglas Martin | Surgery | 4201 Campus Ridge Drive, Midland, MI 48640 | 2009-06-25 |
| 1659351682 | Shane L Martin | Orthopaedic Surgery | 18700 N 64th Dr, Ste 105, Glendale, AZ 85308-7109 | 2006-01-17 |
| Street Address |
52D MEDICAL GROUP UNIT 3865 |
| City | APO |
| State | AE |
| Zip Code | 09126-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518016146 | David Robert Englert | Psychologist | 52d Medical Group, Unit 3865, Apo, AE 09126-3865 | 2007-01-10 |
| 1871951475 | Kelley Jean Beck | Nurse Practitioner | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2016-02-10 |
| 1629455480 | Christian Edward Banasky | Pharmacist | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2015-04-30 |
| 1700131174 | Sarah Elizabeth Martin | Social Worker | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2012-07-20 |
| 1962784686 | Benjamin H Carter | Psychologist | 52d Medical Group, Unit 3690, Apo, AE 09123-3690 | 2011-09-20 |
| 1982911046 | Stedven Lieben Kai Feliciano | Military Health Care Provider | 52d Medical Group, Unit 3690, Apo, AE 09126 | 2010-09-09 |
| 1710290184 | Kelly Lynn Wilson | Speech-Language Pathologist | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2010-07-14 |
| 1336261676 | Jacqueline L Astrero | Physical Therapist | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699039990 | Massimiliano Tuveri | Transplant Surgery | Via Delle Rondini 15, Cagliari, CA 09126 | 2012-07-02 |
| 1225326200 | Rachel K Langley | Family Medicine | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2011-07-12 |
| 1548593932 | Morgan Bergman | Counselor | 52 Mdos/sgow, Unit 3690, Apo, AE 09126 | 2009-09-16 |
| 1518192327 | Terry Lynn Johnson | Military Health Care Provider | Spangdahlem Ab, 52 Mdos Unit 3865, Apo, AE 09126 | 2009-05-22 |
| 1649404906 | Matthew James Warters | Military Health Care Provider | 52 Amds Sgpf, Spangdahlem Air Base, RHEINLAND PFALZ 09126 | 2009-05-14 |
| 1619141686 | Donna Marie Burrowes | Counselor | 52 Mdg Unit 3690, Apo, AE 09126 | 2008-04-21 |
| 1962619296 | Katie M Ragan | Psychologist | 52 Mdos/sgot, Unit 3690, Apo, AE 09126 | 2007-05-17 |
| 1043426463 | Sylvia Jean Ringen | Social Worker | Psc 9 Unit 3690, 52 Mdos/sgohf, Apo, AE 09126 | 2007-05-15 |
| 1225189319 | Andrea L Loudermilk-shull | Speech-Language Pathologist | 52 Mdos/sgov, Unit 3690, Apo, AE 09126 | 2007-01-15 |
| 1013083005 | David Max Jones | Dentist | 52 Ds/cc, Unit 3866, Apo, AE 09126 | 2006-11-28 |
| Find all providers in zip 09126 | ||||
| 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 |
|---|---|---|---|---|
| 1164983359 | Jennifer Lee | Pharmacist | Bdsc Tf Med 528, Apo, AE 09305 | 2019-03-29 |
| 1154899771 | Adriene Lewis | Pharmacist | Cmr 411 Building 700, Apo, AE 09221 | 2018-11-13 |
| 1952806457 | Erin Resweber | Pharmacist | Us Army Medical Activity - Bavaria, Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2018-03-27 |
| 1891229514 | Andrea Stevens | Pharmacist | Psc 2 Box 12399, Apo, AE 09012-0124 | 2017-04-19 |
| 1053706473 | Ji-yeon Shin | Pharmacist | Psc 305 Box 1685, Apo, AP 96218-0017 | 2015-04-02 |
| 1326454075 | Henry Phi Hoang | Pharmacist | Lajes Field 65 Mdg / Sgsd, Unit 7745, Apo, AE 09720-7745 | 2014-07-02 |
| 1952721334 | Jung Eun Gwak | Pharmacist | 549th Hospital Center/bdaach, Apo, AP 96271-5245 | 2014-04-23 |
| 1710319405 | Valerie D. Jefferys | Pharmacist | 2817 Reily Road Womack Army Medical Center, Apo, AE 28307 | 2013-08-05 |
| 1285982702 | Brenda Kay Foster | Pharmacist | Lajes Field 65 Mdg/sdsg, Unit 7745, Apo, AE 09720-7745 | 2012-08-15 |
| 1437421807 | Christopher George Lynch | Pharmacist | U.S. Naval Hospital Guantanamo, Cuba, Apo, AE 09589-1000 | 2012-02-01 |
| Find all providers in APO | ||||
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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.