Martella's Pharmacy of Windber, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARTELLA'S PHARMACY OF WINDBER, LLC

Practice address

901 Graham Ave
Windber, PA 15963-1542

Phone

(814) 467-9700

Fax

(814) 467-9777

NPI assigned

Sep 26, 2012

Last updated

Feb 20, 2020By 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

Mr. Jacqueline Martella, R.PH.

Title

Owner

Phone

(814) 629-6624

Specialties & licenses 1

Addresses

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.

• Martella's Pharmacy of Windber, LLC

  dba Martella's Pharmacy

  • Long Term Care Pharmacy
  • Windber, PA
  • NPI 1730996299
  NPD tax ID

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1770834137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631542",
            "telephone_number": "814-467-9700",
            "fax_number": "814-467-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631542",
            "telephone_number": "814-467-9700",
            "fax_number": "814-467-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTELLA'S PHARMACY OF WINDBER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-629-6624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J. Levine, LPC
• Kelli Long
• Malik Health Care LLC
• Juan B Mari Mayans, MD
• Martella's Pharmacy of Windber, LLC (Martella's Pharmacy)
• Chantel Maxwell
• Medical Group of Windber Inc.
• Frank Mele, LAPC
• Amy Miller, CRNP
• Taylor Marie Miller

• Community/Retail Pharmacy in Windber, PA
• Providers in Windber, 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 Feb 20, 2020; 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.