Jessica Martin

Pharmacist · Granite City, IL

Individual Active NPI

NPI number 1508141904

Practice location

2001 Madison Ave
Granite City, IL 62040-4618
Phone
(618) 876-5095

Open in Google Maps

NPI record

NPI
1508141904
Entity type
Individual (Type 1)
Enumeration date
October 17, 2011
Last updated
October 17, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051294266 IL

About Jessica Martin

Jessica Martin is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2001 Madison Ave, Granite City, IL 62040-4618. The NPI number 1508141904 was assigned on October 17, 2011 and the record was last updated on October 17, 2011.

Jessica Martin lists a license in the registry: #051294266 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Martin?

The NPI number is 1508141904.

What is the phone number of Jessica Martin?

The phone number listed for the practice location is (618) 876-5095.

Where is Jessica Martin located?

2001 Madison Ave, Granite City, IL 62040-4618.

What is the taxonomy code for Jessica Martin?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Granite City

All Pharmacist providers in Granite City, IL →