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MHPG TRADITION PHARMACY AT MARTIN HEALTH
NPI 1407365513
Pharmacy - Community/Retail Pharmacy in Port St Lucie, FL

Active since September 21, 2017
10080 SW INNOVATION WAY STE 102, PORT ST LUCIE, FL 34987(772) 345-8166(772) 345-8167 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, Sep 21, 2017 (2 updates tracked since 2017).

About Mhpg Tradition Pharmacy At Martin Health NPPES

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

MHPG TRADITION PHARMACY AT MARTIN HEALTH (NPI 1407365513) is a healthcare organization registered as a community/retail pharmacy in Port St Lucie, Florida and active in the NPI registry since September 2017. The organization lists Timothy L. Longville, Chief Accounting Officer/controller, as its authorized official.

NPPES Registry Identity

NPI1407365513
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMARTIN MEMORIAL PHYSICIAN CORPORATION, INC
Location Address10080 SW INNOVATION WAY STE 102Port St Lucie, FL 34987-2129
Mailing Address10080 Sw Innovation Way Ste 102Port St Lucie, FL 34987-2129 · (772) 345-8166 · Fax (772) 345-8167
Phone(772) 345-8166
Fax(772) 345-8167
Organization SubpartNo
Authorized OfficialTimothy L. LongvilleChief Accounting Officer/controller · (216) 636-7416
Enumeration DateSeptember 21, 2017
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1407365513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH30943
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.
10080 SW INNOVATION WAY STE 102, Port St Lucie, FL 34987
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Other Names 1

Doing Business AsMhpg Tradition Pharmacy At Martin Health

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 3

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

MARY BISCHOF
Pharmacist
10080 SW INNOVATION WAY STE 102
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-8166
JUSTIN D WASDIN PA-C
Physician Assistant
10080 SW INNOVATION WAY STE 102
PORT ST LUCIE, FL 34987
St. Lucie County (772) 344-3811
TAYLOR MICHELE SLOWN ARNP
Nurse Practitioner (Family)
10080 SW INNOVATION WAY STE 102
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 398-1800

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 Memorial Physician Corporation, Inc's NPI number?

The NPI number for Martin Memorial Physician Corporation, Inc is 1407365513. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as Mhpg Tradition Pharmacy At Martin Health.

Where is Martin Memorial Physician Corporation, Inc located?

Martin Memorial Physician Corporation, Inc is located at 10080 SW Innovation Way Ste 102, Port St Lucie, FL 34987. The listed phone number is (772) 345-8166.

What is Martin Memorial Physician Corporation, Inc's specialty?

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

What insurance does Martin Memorial Physician Corporation, Inc 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 47 other insurers list Martin Memorial Physician Corporation, Inc 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 Memorial Physician Corporation, Inc was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.