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COTY PRENTICE MARTIN DOCTOR OF PHARMACY
NPI 1306447529
Pharmacist in Blytheville, AR

Active since November 04, 2020
400 W MOULTRIE DR, BLYTHEVILLE, AR 72315(870) 763-7951(870) 763-7958 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2021, Nov 4, 2020 (2 updates tracked since 2020).

About Coty Prentice Martin Doctor Of Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COTY PRENTICE MARTIN DOCTOR OF PHARMACY (NPI 1306447529) is an individual pharmacist in Blytheville, Arkansas, licensed in Arkansas (PD15131) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1306447529
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCOTY PRENTICE MARTINCredential: DOCTOR OF PHARMACY
Location Address400 W MOULTRIE DRBlytheville, AR 72315-1716
Mailing Address610 S Ridgeway DrBlytheville, AR 72315-8017 · (870) 740-5044
Phone(870) 763-7951
Fax(870) 763-7958
Sole ProprietorYes
Enumeration DateNovember 4, 2020
Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
✔ NPI 1306447529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in AR · PD15131
Definition
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.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License PD15131 (AR)
400 W MOULTRIE DR, Blytheville, AR 72315
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHERRI MULDREW PHARMD
Pharmacist
400 W MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 763-7951
DR. ROBERT AUSTIN BLUE PHARMD
Pharmacist
400 W MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 763-7951
DANESHA WILLIAMS
Pharmacist
400 W MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 763-7958
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
400 W MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 763-7951
MS. KIMBERLEY DENISE DICKEY PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
400 W MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (801) 763-7951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coty Martin's NPI number?

The NPI number for Coty Martin is 1306447529. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Where is Coty Martin located?

Coty Martin practices at 400 W Moultrie Dr, Blytheville, AR 72315. The listed phone number is (870) 763-7951.

What is Coty Martin's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Coty Martin was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.