Martin'S Super Markets of Logansport LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006072A Issued in IN

Legal business name

MARTIN'S SUPER MARKETS OF LOGANSPORT LLC

Doing business as

Martin's Pharmacy #2318

Practice address

3420 E Market St
Logansport, IN 46947-2295

Phone

(574) 753-2518

NPI assigned

Aug 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Ellis, RPH

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 1

Addresses

Other names 2

• Martin's Pharmacy #2318 Doing business as
• Martin's Super Markets of Logansport LLC Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph John Meyer, RPH

  • Pharmacist
  • Logansport, IN
  • NPI 1164010591
  NPD
• Jessica Shepler, PHARMD

  • Pharmacist
  • Logansport, IN
  • NPI 1801483094
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1033301338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MOMENTUM PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895315",
            "telephone_number": "616-878-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472295",
            "telephone_number": "574-753-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN'S SUPER MARKETS OF LOGANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "616-878-2848",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006072A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #2318",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin's Super Markets of Logansport LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Martin's Super Markets of Logansport LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shana Markle, PH.D.
• Karen Marks
• Heather Dawn Marschand, BSW
• Scott E Marsh, DPM
• Nicole Martin, BA
• John Edward Marvel, MD
• Chay McCarty
• Jessica Yvonne McClintock Glover, MD
• Kelsey Jo McCoy, DDS
• Robert Alan McKissick, M.D.

• Community/Retail Pharmacy in Logansport, IN
• Providers in Logansport, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.