IndividualActive
Andrew Martin
NPI 1912662529 · Pharmacotherapy Pharmacist · Jackson, TN
Provider details
- NPI number
- 1912662529
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 34050 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1050 Union University Dr
Jackson, TN 38305-3656
Phone: (731) 661-5990
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Union University Dr
Jackson, TN 38305-3656
Registry dates
- Enumerated
- 2021-11-08
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.