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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007540 | MI | Suppliers |
Other Name | Type Code |
---|---|
Martin's Pharmacy #21 | Doing Business As Name - Organization |
Street Address |
2121 S CLEVELAND AVE |
City | SAINT JOSEPH |
State | MI |
Zip Code | 49085-2601 |
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 |
Find all providers in zip 49085 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
Find all providers in SAINT JOSEPH |
City | SAINT JOSEPH |
Zip Code | 49085 |
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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.