Individual provider Active NPI

Joseph Michael Martella Jr., RPH

  • Pharmacist
  • Johnstown, PA
National Provider Identifier
1477286649
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP036290T Issued in PA
Practice address
1079 Franklin St
Johnstown, PA 15905-4303
Phone
(814) 535-1833
Fax
(814) 539-2234
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RP036290T PA Primary

Addresses

Primary practice location

1079 Franklin St
Johnstown, PA 15905-4303

Mailing address

1079 Franklin St
Johnstown, PA 15905-4303
Phone (814) 535-1833

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP036290TPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martella'S Pharmacy, LLC CurrentSince Jul 10, 2022 Accepting new patients
Martella'S Pharmacy, LLC PastSince Jul 10, 2022 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1477286649",
    "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": "159054303",
            "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": "159054303",
            "telephone_number": "814-535-1833",
            "fax_number": "814-539-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLA",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP036290T",
            "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 Jul 6, 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.

Verify at the official NPI Registry.