MARTIN'S SUPER MARKET OF ST. JOSEPH LLC


Address: 2121 S Cleveland Ave, Saint Joseph, MI 49085-2601
Phone: 2699835847

MARTIN'S SUPER MARKET OF ST. JOSEPH LLC (NPI# 1396824116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396824116
Entity Type Organization
Organization Name MARTIN'S SUPER MARKET OF ST. JOSEPH LLC
Other Organization Name MARTIN'S PHARMACY #21
Practice Address 2121 S Cleveland Ave
Saint Joseph
MI 49085-2601
Practice Telephone 2699835847
Practice Fax Number 2699835869
Mailing Telephone 2699835847
Mailing Fax Number 2699835869
Enumeration Date 2006-11-03
Last Update Date 2016-09-08
Authorized Official Name GREGORY FREEHAUF (CFO)
Authorized Official Telephone 5742392105
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301007540 MI Suppliers

Other Provider/Organization Names

Other Name Type Code
Martin's Pharmacy #21 Doing Business As Name - Organization

Office Location

Street Address 2121 S CLEVELAND AVE
City SAINT JOSEPH
State MI
Zip Code 49085-2601

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758949 Ahmed Elshareif Student in an Organized Health Care Education/Training Program Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 2020-04-03
1033747225 Ezra Fox Student in an Organized Health Care Education/Training Program Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 2020-04-01
1679033930 Asad Butt Student in an Organized Health Care Education/Training Program Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 2019-03-22
1184194714 Benjamin Phillip Knuth Physical Therapist 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 2018-11-27
1336624279 Brandi Chatot Counselor 1101 Broad Street #8, Saint Joseph, MI 49085 2018-09-26
1396239562 Lakeland Medical Practices Family Medicine 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 2018-06-20
1760976518 Premier Health Associates, Inc. Home Health 1111 Main Sr, St Joseph, MI 49085 2018-06-15
1053817783 Chantell Strong Student in an Organized Health Care Education/Training Program Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 2018-04-02
1386144053 Anjana Gupta, Dds, Pllc Dentist 2800 Niles Road, Saint Joseph, MI 49085 2018-02-19
1356858997 Hope Reborn Counseling, Pllc Counselor 2816 Willa Dr, Saint Joseph, MI 49085 2018-01-04
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932670965 Northwest Health Services Inc Pharmacy 2303 Village Dr Suite B, Saint Joseph, MO 64506-4954 2018-12-17
1114026424 Missouri Cvs Pharmacy, L.L.C. Pharmacy 930 N Belt Hwy, Saint Joseph, MO 64506-3013 2006-09-22
1952323651 Missouri Cvs Pharmacy LLC Pharmacy 5201 N Belt Hwy Ste H, Saint Joseph, MO 64506-1297 2006-07-24
1770504730 Hac, Inc. Pharmacy 3734 Pear St, Saint Joseph, MO 64503-1507 2006-07-22
1689695645 Hac, Inc Pharmacy 903 N 36th St, Saint Joseph, MO 64506-2971 2006-07-22
1932140365 Vans Pharmacy Inc Pharmacy 807 Napier Ave, Saint Joseph, MI 49085-2003 2006-06-09
1699247080 Northwest Health Services Inc Pharmacy 1517 Saint Joseph Ave, Saint Joseph, MO 64505-2631 2018-12-22
1295101038 Wheel's Pharmacy Pharmacy 903 N 36th St, Saint Joseph, MO 64506-2971 2015-08-17
1417339102 Wheels's Pharmacy Pharmacy 3734 Pear St, Saint Joseph, MO 64503-1507 2015-06-18
1144376146 Apothecary Pharmacy LLC Pharmacy 1517 Saint Joseph Ave, Saint Joseph, MO 64505-2631 2007-01-25
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Competitor

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City SAINT JOSEPH
Zip Code 49085

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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