SHEDRICK MARTIN PHARMD, BCPP
NPI 1457823155
Pharmacist in San Rafael, CA

Q: What is Shedrick Martin's NPI number?

The NPI number for Shedrick Martin is 1457823155. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Q: What is Shedrick Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shedrick Martin was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 19, 2018

111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3000 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2022, Oct 13, 2022, Dec 19, 2018 (3 updates tracked since 2018).

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About Shedrick Martin Pharmd, Bcpp NPPES

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

SHEDRICK MARTIN PHARMD, BCPP (NPI 1457823155) is an individual pharmacist in San Rafael, California, licensed in California (77539) and active in the NPI registry since December 2018. He maintains a secondary practice location in Petaluma.

NPPES Registry Identity

NPI1457823155

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameSHEDRICK MARTINCredential: PHARMD, BCPP

Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939

Mailing Address111 Smith Ranch RdSan Rafael, CA 94903-1939 · (415) 491-3000

Phone(415) 491-3000

Sole ProprietorYes

Enumeration DateDecember 19, 2018

Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration

NPPES CertifiedOctober 24, 2022

✔ NPI 1457823155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in CA · 77539

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 · PharmacotherapyTaxonomy 1835P1200X · License 77539 (CA), 7539 (CA)

Also ListedPharmacist · PsychiatricTaxonomy 1835P1300X · License 77539 (CA)

Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X · License 77539 (CA)

111 SMITH RANCH RD, San Rafael, CA 94903

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Secondary Practice Location 1

Location 13900 Lakeville HwyPetaluma, CA 94954-5698 · Phone (707) 765-3900

Other Providers at the Same Location NPPES 20

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

STEPHANIE LOPEZ

Psychologist