IndividualActive
John Martin, PHARMD.
NPI 1376144063 · Pharmacist · Kosciusko, MS
Provider details
- NPI number
- 1376144063
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD.
- Sex
- Male
- Sole proprietor
- No
- License
- E-16752 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
220 Veterans Memorial Dr
Kosciusko, MS 39090-3848
Phone: (662) 289-3422
Street-level locationGet directions
Mailing address
103 Eudora Welty Dr Apt G5
Starkville, MS 39759-7750
Registry dates
- Enumerated
- 2020-11-08
- Last updated
- 2020-11-08
- Certified
- 2020-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.