Organization · Type 2 NPI

Martin's Super Markets of Niles LLC

Community/Retail Pharmacy · Niles, MI

NPI number 1609955418 Active

Practice location

720 S 11th St
Niles, MI 49120-3313

Call (269) 684-1418 Map

Fax (269) 684-1457

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5301007539 (MI)

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 …

3 other providers at this address

Other community/retail pharmacy providers in Niles

See all in Niles →

NPI record

NPI: 1609955418
Entity type: Organization (Type 2)
Issued: Nov 3, 2006
Last updated: Dec 7, 2023
Status: Active

Other names

<unavail>
Martin's Pharmacy #19 · doing business as
Martin's Pharmacy #2319 · doing business as

Authorized official

Amy Ellis, RPH
Director of Pharmacy
(616) 878-2848

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1609955418

Martin's Super Markets of Niles LLC's National Provider Identifier is 1609955418, issued on Nov 3, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Niles, MI. The record was last updated on Dec 7, 2023.