TRENT DEOIN MARTIN (NPI# 1912560665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912560665 |
| Entity Type | Individual |
| Full Name | TRENT DEOIN MARTIN |
| Other Name | DR. TRENT DEOIN MARTIN |
| Practice Address |
2106 E Main St Mountain View AR 72560-6439 |
| Practice Telephone | 8702625149 |
| Practice Fax Number | 8702698038 |
| Mailing Telephone | 8702625149 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD14750 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023504818 | Trent Wayne Martin | Optometrist | 1000 Vann Dr Ste A, Jackson, TN 38305-6062 | 2018-07-05 |
| 1194703728 | Trent D Martin | Internal Medicine | 1925 Glenn Mitchell Dr, Ste 102, Virginia Beach, VA 23456-0170 | 2006-01-04 |
| Street Address |
2106 E MAIN ST |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417913419 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560-6439 | 2006-04-26 |
| 1265095996 | Amanda Langston | Pharmacist | 2106 E Main St, Mountain View, AR 72560-6439 | 2019-04-18 |
| 1710233010 | White River Health System, Inc | Nurse Anesthetist, Certified Registered | 2106 E Main St, Mountain View, AR 72560-6439 | 2012-07-24 |
| 1407170806 | Diana Shelden | Registered Nurse | 2106 E Main St, Mountain View, AR 72560-6439 | 2010-03-15 |
| 1235357534 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560 | 2007-04-23 |
| 1174573026 | Nicholas J Piediscalzi | Emergency Medicine | 2106 E Main St, Mountain View, AR 72560 | 2006-05-11 |
| 1083670095 | Barry D Pierce | Emergency Medicine | 2106 E Main St, Mountain View, AR 72560-0510 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| Find all providers in zip 72560 | ||||
| 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 |
|---|---|---|---|---|
| 1013568922 | Paul R Burpo Jr. | Pharmacist | 950 N Hwy 414, Mountain View, WY 82939 | 2019-09-23 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1013436724 | Allison N Smith | Pharmacist | 555 W. Middlefield Rd., D307, Mountain View, CA 94043 | 2017-09-13 |
| 1669913109 | Rupali Dalal | Pharmacist | 953 Valencia Ave, Mountain View, CA 94040-2966 | 2017-03-16 |
| 1912457565 | Jessica Ten Roen Chang | Pharmacist | 801 Church St, Apt 1319, Mountain View, CA 94041-1908 | 2016-10-06 |
| 1205297165 | Laura Bio | Pharmacist | 276 Okeefe Way, Mountain View, CA 94041 | 2016-03-18 |
| 1083082465 | Amy Hassenberg | Pharmacist | 575 S Rengstorff Ave Apt 4, Mountain View, CA 94040-1931 | 2015-09-02 |
| 1215275474 | Uzma Ajaz Hussain | Pharmacist | 115 Huntington Ct, Mountain View, CA 94043-5278 | 2013-01-23 |
| 1326305731 | Anthia Lee | Pharmacist | 2500 California St, Mountain View, CA 94040-1302 | 2012-04-23 |
| 1588946446 | Thanh Phuoc Nguyen | Pharmacist | 112 N Rengstorff Ave, Mountain View, CA 94043-4222 | 2011-09-15 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
Please comment or provide details below to improve the information on TRENT DEOIN 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.