Martella'S Pharmacy of Windber, LLC
Organization Active NPI Community/Retail Pharmacy · Windber, PA
NPI 1770834137 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1770834137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Jacqueline Martella, R.PH.
- Title
- Owner
- Phone
- (814) 629-6624
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131023001948 | PA | DME Supplier - Pharmacy | 2567697741 | Practice locations: Windber, PA |
| O20131220001347 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2567697741 | Practice locations: Windber, PA |
National Provider Directory
- Tax ID family
- Martella'S Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
901 Graham Ave
Windber, PA 15963-1542
Mailing address
901 Graham Ave
Windber, PA 15963-1542
Phone (814) 467-9700
Other providers in Windber, PA
- Sarah J. Levine
- Kelli Long
- Malik Health Care LLC
- Juan B Mari Mayans
- Martella'S Pharmacy of Windber, LLC
- Lindsay Jane Mastrine
- Chantel Maxwell
- Medical Group of Windber Inc.
- Frank Mele
- Amy Miller
All providers in Windber, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.