NPIMap

Organization Active NPI

Martella'S Pharmacy, LLC

  • Long Term Care Pharmacy
  • Johnstown, PA
National Provider Identifier
1366025231
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MARTELLA'S PHARMACY, LLC
Practice address
1079 Franklin St
Johnstown, PA 15905-4399
Phone
(814) 535-1833
Fax
(814) 539-2234
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Jacqueline M. Martella, R.PH
Title
Owner
Phone
(814) 629-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1079 Franklin St
Johnstown, PA 15905-4399

Mailing address

1079 Franklin St
Johnstown, PA 15905-4399
Phone (814) 535-1833

National Provider Directory

National Provider Directory
Tax ID family
Martellas Pharmacy LLC2 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.

Locations

1079 Franklin St
Johnstown, PA 15905
Phone (814) 535-1833

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1366025231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054399",
            "telephone_number": "814-535-1833",
            "fax_number": "814-539-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054399",
            "telephone_number": "814-535-1833",
            "fax_number": "814-539-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTELLA'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-629-1397",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.