Active NPI
Michael Martinelli
- Pharmacist
- Poland, OH
National Provider Identifier
1043955347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03322018
- Practice address
- 3030 Center Rd
Poland, OH 44514-2158 - Phone
- (330) 707-9001
- Fax
- (330) 707-9002
- NPI assigned
- May 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03322018 | OH | Primary |
Addresses
Primary practice location
3030 Center Rd
Poland, OH 44514-2158
Mailing address
5202 Duck Creek Rd
Berlin Center, OH 44401-9609
Phone (330) 402-7933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03322018 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RC Compounding Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialty Pharmacy
- Poland, OH
- NPI 1801013909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1043955347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 DUCK CREEK RD",
"city": "BERLIN CENTER",
"state": "OH",
"postal_code": "444019609",
"telephone_number": "330-402-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CENTER RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445142158",
"telephone_number": "330-707-9001",
"fax_number": "330-707-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINELLI",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03322018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.