Martin'S Super Markets of St. Joseph, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007540 Issued in MI

Legal business name

MARTIN'S SUPER MARKETS OF ST. JOSEPH, LLC

Doing business as

Martin's Pharmacy #21
Martin's Pharmacy #2321

Practice address

2121 S Cleveland Ave
Saint Joseph, MI 49085-2601

Phone

(269) 983-5847

Fax

(269) 983-5869

NPI assigned

Nov 3, 2006

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 #21 Doing business as
• Martin's Pharmacy #2321 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• MSM Holdco, LLC

  • Community/Retail Pharmacy
  • Elkhart, IN
  • NPI 1699854497

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• MSM Holdco, LLC

  • Community/Retail Pharmacy
  • Elkhart, IN
  • NPI 1699854497

  Member Of

  NPD member

Locations

Practitioners 1

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

• Amber Fichtner, PHARMD

  • Pharmacist
  • Saint Joseph, MI
  • NPI 1255627436
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1396824116",
    "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": "2121 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852601",
            "telephone_number": "269-983-5847",
            "fax_number": "269-983-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN'S SUPER MARKETS OF ST. JOSEPH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "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": "MI",
            "license": "5301007540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #21",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin's Pharmacy #2321",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rudy Karl Marschner, L.L.P., L.P.C.
• Andrea C Marsh, PTA
• Nicole Alexis-Oliveira Marsh, MD
• Emily Marshall, LMSW
• Allison Kristen Elizabeth Martin, NP
• Mary Free Bed Orthotics and Prosthetics
• Natalie Kay Marzke
• James Maskill
• Issa Bernalin Hernaez Maslog, MD
• Victor Adam Maslon, DO

• Community/Retail Pharmacy in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.