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MARTIN'S PHARMACY #17
NPI 1366521171
Pharmacy - Community/Retail Pharmacy in Elkhart, IN

Active since November 03, 2006
3900 E BRISTOL ST, ELKHART, IN 46514(574) 970-0004 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Nov 23, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Martin's Pharmacy #17 NPPES

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

MARTIN'S PHARMACY #17 (NPI 1366521171) is a healthcare organization registered as a community/retail pharmacy in Elkhart, Indiana and active in the NPI registry since November 2006. The organization lists Amy Ellis, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1366521171
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMARTIN'S SUPER MARKETS OF ELKHART EAST LLC
Location Address3900 E BRISTOL STElkhart, IN 46514-4466
Mailing Address1527 Momentum PlaceChicago, IL 60689-5315 · (616) 878-8584
Phone(574) 970-0004
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateNovember 3, 2006
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1366521171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IN · 60005670A
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.
3900 E BRISTOL ST, Elkhart, IN 46514
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Other Names 2

Doing Business AsMartin's Pharmacy #17
Doing Business AsMartin's Pharmacy #2317

Other Identifiers 1

Medicaid200376280AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

TAMARA CLARE OLSON FNP
Nurse Practitioner (Family)
3900 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (800) 635-5516
MRS. ERIN ANNE BRANDES FNP-BC
Nurse Practitioner (Family)
3900 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (800) 635-5516
SEAN PATRICK BRIDGES PHARMD
Pharmacist
3900 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 970-0004
TONYA KAVAS RPH
Pharmacist
3900 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 970-0004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin's Super Markets Of Elkhart East LLC's NPI number?

The NPI number for Martin's Super Markets Of Elkhart East LLC is 1366521171. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Martin's Pharmacy #17 and Martin's Pharmacy #2317.

Where is Martin's Super Markets Of Elkhart East LLC located?

Martin's Super Markets Of Elkhart East LLC is located at 3900 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 970-0004.

What is Martin's Super Markets Of Elkhart East LLC's specialty?

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

What insurance does Martin's Super Markets Of Elkhart East LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Martin's Super Markets Of Elkhart East LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin's Super Markets Of Elkhart East LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.