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Wendy Pierce Martin, PharmD

Pharmacist in Boonville, MO. Individual provider (NPI-1).

NPI number1386425932
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1386425932
Entity type
Individual (NPI-1)
Name
Wendy Pierce Martin
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 10, 2023
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist2016024480MOYes

Practice location

17032 Klinton Dr
Boonville, MO 65233-3542

Phone 660-537-1235

Mailing address

17032 Klinton Dr
Boonville, MO 65233-3542

Phone 660-537-1235

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Boonville, MO

All 11 Pharmacist providers in Boonville · All 159 providers in Boonville

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