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Deactivated NPI 1679240683 Deactivated / Inactive NPI Male Practitioner

Kenneth Martin

Pharmacist • Buffalo, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2021
NPI Deactivation Date January 02, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Kenneth Martin was a registered Pharmacist practicing in Buffalo, TX. Throughout an active medical career spanning 4 years, Kenneth Martin provided care at the practice location at 1220 W COMMERCE ST until profile deactivation on 2025-01-02.

Practice Location & Contact Primary Location

Practice Address

1220 W Commerce St

Buffalo, TX 75831

Telephone 9033221315
Associated Practice Facility / Clinic
🏢 Brookshire Brothers Inc Facility NPI 1467552802

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Buffalo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Buffalo, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 17952

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Brittany Lyon

Pharmacist

NPI 1821689530

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 02, 2025

Record deactivated on January 02, 2025

NPI Profile Active August 26, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2021

Registered at 1220 W COMMERCE ST, BUFFALO, TX 75831 (Tel: 9033221315)

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Updated Business Mailing Address August 26, 2021

Registered at 1220 W COMMERCE ST, BUFFALO, TX 75831 (Tel: 9033221315)

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Provider Name / Credentials Updated August 26, 2021

Recorded as KENNETH MARTIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Pharmacist (License #17952 in TX)

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Initial NPI Registration & Enumeration August 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679240683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2021
Last Update: August 26, 2021
Deactivation Date: January 02, 2025

Mailing Address

1220 W Commerce St

Buffalo, TX 75831

Phone: 9033221315

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.