MARTINS SUPER MARKETS INC (NPI# 1528397643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528397643 |
| Entity Type | Organization |
| Organization Name | MARTINS SUPER MARKETS INC |
| Other Organization Name | MARTIN'S PHARMACY #15 |
| Practice Address |
120 Sanford School Rd, Ste B Elkhart IN 46514 |
| Practice Telephone | 5749706470 |
| Mailing Telephone | 5749706470 |
| Enumeration Date | 2009-12-19 |
| Last Update Date | 2009-12-19 |
| Authorized Official Name | DAVID ADAMS (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5742391894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60006210A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1562823 | 01 |
| Other Name | Type Code |
|---|---|
| Martin's Pharmacy #15 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366693665 | Martins Super Markets Inc | Pharmacy | 314 N Ironwood Dr, Mishawaka, IN 46544-1543 | 2008-10-06 |
| Street Address |
120 SANFORD SCHOOL RD, STE B |
| City | ELKHART |
| State | IN |
| Zip Code | 46514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| 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 |
|---|---|---|---|---|
| 1043485568 | Walgreen Co | Pharmacy | 3551 Cassopolis St, Elkhart, IN 46514-6743 | 2008-04-25 |
| 1699854497 | Martin's Super Markets, Inc. | Pharmacy | 201 Concord Mall Dr, Elkhart, IN 46517-3109 | 2006-11-03 |
| 1679676399 | Hook Superx LLC | Pharmacy | 104 W Hively Ave, Elkhart, IN 46517-2113 | 2006-09-07 |
| 1871696211 | Hook Superx LLC | Pharmacy | 900 E Bristol St, Elkhart, IN 46514-3624 | 2006-09-07 |
| 1528161049 | Hook Superx LLC | Pharmacy | 1210 N Nappanee St, Elkhart, IN 46514-1732 | 2006-09-07 |
| 1710080239 | Hook Superx LLC | Pharmacy | 551 E Jackson Blvd, Elkhart, IN 46516-3528 | 2006-09-07 |
| 1043324031 | Charles H Stanton | Pharmacy | 306 S Us Highway 287, Elkhart, TX 75839-6726 | 2006-08-18 |
| 1205841335 | Walgreen Co | Pharmacy | 1400 Cassopolis St, Elkhart, IN 46514-3246 | 2006-07-29 |
| 1023059946 | Hook Superx Inc | Pharmacy | 1712 S Nappanee St, Elkhart, IN 46516-1705 | 2006-06-10 |
| 1366521171 | Martin's Super Markets | Pharmacy | 3900 E Bristol St, Elkhart, IN 46514-4466 | 2006-11-03 |
| Find all providers in ELKHART | ||||
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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.