MARTIN'S SUPER MARKETS, INC. (NPI# 1699854497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699854497 |
| Entity Type | Organization |
| Organization Name | MARTIN'S SUPER MARKETS, INC. |
| Other Organization Name | MARTIN'S PHARMACY #6 |
| Practice Address |
201 Concord Mall Dr Elkhart IN 46517-3109 |
| Practice Telephone | 5748759423 |
| Mailing Telephone | 5748759423 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. 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 |
60005669A | IN | Suppliers |
| Other Name | Type Code |
|---|---|
| Martin's Pharmacy #6 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1457803074 | Martin's Super Markets, Inc. | Pharmacy | 306 N Bittersweet Rd, Mishawaka, IN 46544-4251 | 2016-10-31 |
| 1891003661 | Martin's Super Markets, Inc. | Pharmacy | 1150 Husky Trl, Warsaw, IN 46582-1952 | 2010-09-15 |
| Street Address |
201 CONCORD MALL DR |
| City | ELKHART |
| State | IN |
| Zip Code | 46517-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
| 1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
| 1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
| 1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
| 1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
| 1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
| 1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
| Find all providers in zip 46517 | ||||
| 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 |
|---|---|---|---|---|
| 1528397643 | Martins Super Markets Inc | Pharmacy | 120 Sanford School Rd, Ste B, Elkhart, IN 46514 | 2009-12-19 |
| 1043485568 | Walgreen Co | Pharmacy | 3551 Cassopolis St, Elkhart, IN 46514-6743 | 2008-04-25 |
| 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.