MARTIN TIPTON PHARMACY LLC – Community/Retail Pharmacy, NPI 1942215587
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARTIN TIPTON PHARMACY LLC
PO BOX 30863
AMARILLO, TX 791200863
Phone: (806) 373-2812
Fax: (806) 372-6550
Type: Mailing
1501, South Tyler Street, Amarillo, Potter County, Texas, 79101, United States
AMARILLO, TX 791014240
Phone: (806) 373-2812
Fax: (806) 372-6550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (20 days away).
Enrollment records
2
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040920000593 | O | Mass Immunization (Roster Biller Only) | TX | TBD |
| O20100930071134 | O | Pharmacy | TX | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 158 | 158 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 158 | 158 | $0 |
| G0008 | Administration of influenza virus vaccine | 157 | 157 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 148 | 148 | $0 |
| M0201 | Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home | 47 | 47 | $0 |
Insurance plans in this area (ZIP 79120)
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