DR. VIVIANNA RAYLENE MARTIN PHARMD, MBA
NPI 1720557234
Pharmacist in Red Lake, MN

Active since November 14, 2018
24760 HOSPITAL RD, RED LAKE, MN 56671(218) 679-3912(218) 679-0189 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2024, Jul 6, 2022, Aug 19, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Vivianna Raylene Martin Pharmd, Mba NPPES

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

DR. VIVIANNA RAYLENE MARTIN PHARMD, MBA (NPI 1720557234) is an individual pharmacist in Red Lake, Minnesota, licensed in California (RPH84878) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1720557234
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. VIVIANNA RAYLENE MARTINCredential: PHARMD, MBA
Location Address24760 HOSPITAL RDRed Lake, MN 56671
Mailing Address24760 Hospital RdRed Lake, MN 56671 · (218) 679-3912 · Fax (218) 679-0189
Fax(218) 679-0189
Sole ProprietorNo
Enumeration DateNovember 14, 2018
Last NPPES UpdateDecember 23, 20244 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1720557234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · RPH84878
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.

24760 HOSPITAL RD, Red Lake, MN 56671

Other Providers at the Same Location NPPES 13

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Nurse Practitioner
24760 HOSPITAL RD
RED LAKE, MN 56671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Dental Hygienist
24760 HOSPITAL RD
RED LAKE, MN 56671
Dental Hygienist
24760 HOSPITAL RD
REDLAKE, MN 56671
Pharmacist
24760 HOSPITAL RD
RED LAKE, MN 56671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Pharmacist
24760 HOSPITAL RD
RED LAKE, MN 56671

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 Vivianna Martin's NPI number?

The NPI number for Vivianna Martin is 1720557234. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Vivianna Martin located?

Vivianna Martin practices at 24760 Hospital Rd, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Vivianna 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 Vivianna Martin was last updated on December 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.