MARTIN MEMORIAL MEDICAL CENTER OUTPATIENT PHARMACY
NPI 1346305554
Pharmacy - Community/Retail Pharmacy in Stuart, FL

Q: What is Martin Memorial Medical Center Inc's NPI number?

The NPI number for Martin Memorial Medical Center Inc is 1346305554. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Martin Memorial Medical Center Outpatient Pharmacy.

Q: What is Martin Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since December 27, 2006CLIA 10D2325480 · Waiver

200 SE HOSPITAL AVE, STUART, FL 34994(772) 288-5813(772) 221-2064 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2022, Oct 3, 2019, Jul 19, 2018 and 3 more (6 updates tracked since 2016).

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About Martin Memorial Medical Center Outpatient Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN MEMORIAL MEDICAL CENTER OUTPATIENT PHARMACY (NPI 1346305554) is a healthcare organization registered as a community/retail pharmacy in Stuart, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Timothy L. Longville, Chief Accounting Officer/controller, as its authorized official.

NPPES Registry Identity

NPI1346305554

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMARTIN MEMORIAL MEDICAL CENTER INC

Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346

Mailing Address200 Hospital Ave, Po Box 9010Stuart, FL 34995-2396 · (772) 834-4980

Phone(772) 288-5813

Fax(772) 221-2064

Organization SubpartNo

Authorized OfficialTimothy L. LongvilleChief Accounting Officer/controller · (216) 636-7416

Enumeration DateDecember 27, 2006

Last NPPES UpdateDecember 8, 20226 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1346305554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in FL · PH9554

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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

200 SE HOSPITAL AVE, Stuart, FL 34994

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Other Names 1

Doing Business AsMartin Memorial Medical Center Outpatient Pharmacy

Other Identifiers 1

Other2009571Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2325480

Martin Memorial Medical Center, Inc · Stuart, FL

Active · expires Jun 12, 2027

CLIA Number10D2325480

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorRoderick Baker

Laboratory Phone(772) 223-5736

Laboratory LocationMartin Memorial Medical Center, Inc6001 SE Tower Drive, Stuart, FL 34997

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER USOROV MD

Internal Medicine (Nephrology)