Marty's Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

014605 Issued in NY

Legal business name

MARTY'S PHARMACY

Practice address

9422 Avenue L
Brooklyn, NY 11236-4809

Phone

(718) 251-1313

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin Niedelman, RPH

Title

Owner Supervising Pharmacist

Phone

(718) 251-1313

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1275616120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364809",
            "telephone_number": "718-251-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NIEDELMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-251-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "014605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00266899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Marton, MSED
• Esther M Marton
• Anna Martsenyuk
• Nicholas Martucci, L.C.S.W.
• Erwin R Martus
• Merrill Jackson Martz, PHD
• Maruf-Zaman Medical Care PLLC
• Ana Maritza Marulanda Prado, MD
• Christina Marullo
• Jacqueline Monica Marus, SLP

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.