Individual provider Active NPI

Paula Yvonne Marteeny

  • Pharmacist
  • Somerset, PA
National Provider Identifier
1831861863
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP042503R Issued in PA
Practice address
4192 Glades Pike
Somerset, PA 15501-8724
Phone
(814) 443-3152
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202011804 VA
Pharmacist 183500000X RPI006141 PA
Pharmacist 183500000X RP042503R PA Primary

Addresses

Primary practice location

4192 Glades Pike
Somerset, PA 15501-8724

Mailing address

4192 Glades Pike
Somerset, PA 15501-8724
Phone (814) 443-3152

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

State licenses

LicenseStateTypeSpecialty
RP042503RPAMDPharmacist
RPI006141PAMDPharmacist
0202011804VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Giant Eagle, Inc PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 1

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1831861863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 GLADES PIKE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155018724",
            "telephone_number": "814-443-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 GLADES PIKE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155018724",
            "telephone_number": "814-443-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEENY",
        "first_name": "PAULA",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011804",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI006141",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042503R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.