NPIMap

Organization Active NPI

Martellas Pharmacy of Parkhill LLC

Doing business as Martella's Pharmacy

  • Long Term Care Pharmacy
  • Johnstown, PA
National Provider Identifier
1952118408
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MARTELLAS PHARMACY OF PARKHILL LLC
Doing business as
Martella's Pharmacy
Practice address
1932 William Penn Ave
Johnstown, PA 15909-1637
Phone
(814) 322-1011
Fax
(814) 322-3334
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Jacqueline M. MartellaNPI 1740428945
Title
Owner
Phone
(814) 629-1397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1932 William Penn Ave
Johnstown, PA 15909-1637

Mailing address

1932 William Penn Ave
Johnstown, PA 15909-1637
Phone (814) 322-1011

Other identifiers 1

IdentifierTypeStateIssuer
2133280OtherPK

Other names 1

  • MARTELLA'S PHARMACY Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1952118408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 WILLIAM PENN AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091637",
            "telephone_number": "814-322-1011",
            "fax_number": "814-322-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 WILLIAM PENN AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091637",
            "telephone_number": "814-322-1011",
            "fax_number": "814-322-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTELLAS PHARMACY OF PARKHILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-629-1397"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTELLA'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2024; 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.