Martellas Pharmacy of Parkhill LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411767L Issued in PA

Legal business name

MARTELLAS PHARMACY OF PARKHILL LLC

Doing business as

Martella's Pharmacy

Practice address

1932 William Penn Ave
Johnstown, PA 15909-1637

Phone

(814) 322-1011

Fax

(814) 322-3334

NPI assigned

Jul 21, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Martella

Title

Owner

Phone

(814) 754-5717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARTELLA'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Martella's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martellas Pharmacy of Parkhill LLC

  dba Martella's Pharmacy

  • Long Term Care Pharmacy
  • Johnstown, PA
  • NPI 1952118408
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Gipe, PHARMD

  • Pharmacist
  • Johnstown, PA
  • NPI 1083331938
  NPD (past)
• Dina Marie Kushner, PHARMD

  • Pharmacist
  • Johnstown, PA
  • NPI 1811594419
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1306867122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 WILLIAM PENN AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091637",
            "telephone_number": "814-322-1011",
            "fax_number": "814-322-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 WILLIAM PENN AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091637",
            "telephone_number": "814-322-1011",
            "fax_number": "814-322-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTELLAS PHARMACY OF PARKHILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-754-5717"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411767L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTELLA'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARTELLA'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Lynn Martella, PA-C
• Joseph Michael Martella Jr., RPH
• Martella's LTC Medipac Services LLC
• Martella's Pharmacy, LLC
• Martella's Pharmacy, LLC
• Martellas Pharmacy of Parkhill LLC (Martella's Pharmacy)
• James H Martin, LPC
• Amy C Martinek, MSW
• Kelly Martinek
• Nicholas J. Masciotra, MD

• Community/Retail Pharmacy in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.