Martella's Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARTELLA'S PHARMACY, LLC

Practice address

1079 Franklin St
Johnstown, PA 15905-4303

Phone

(814) 535-1833

Fax

(814) 539-2234

NPI assigned

Aug 30, 2006

Last updated

May 26, 2021By 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

Pharmacist

Phone

(814) 535-1833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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.

• Martella's Pharmacy, LLC

  • Long Term Care Pharmacy
  • Johnstown, PA
  • NPI 1366025231
  NPD tax ID

Locations

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.

• Joseph Michael Martella Jr., RPH

  • Pharmacist
  • Johnstown, PA
  • NPI 1477286649
  NPD (past)
• Sydney Ragan Podrebarac

  • Pharmacist
  • Johnstown, PA
  • NPI 1720952435
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1700995875",
    "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": {
        "organization_name": "MARTELLA'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "814-535-1833"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 May 26, 2021; 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.