Healthcare Provider Details

I. General information

NPI: 1225866171
Provider Name (Legal Business Name): MARTIN TIPTON PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BELL ST UNIT 30,31
AMARILLO TX
79109-6231
US

IV. Provider business mailing address

PO BOX 30863
AMARILLO TX
79120-0863
US

V. Phone/Fax

Practice location:
  • Phone: 806-570-9600
  • Fax: 806-372-6550
Mailing address:
  • Phone: 806-310-6255
  • Fax: 806-373-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOE MARK VOGLER
Title or Position: OWNER
Credential: RPH
Phone: 806-373-2812