OrganizationActive
Martin'S Super Markets of Elkhart East LLC
NPI 1366521171 · Community/Retail Pharmacy · Elkhart, IN
Martin'S Super Markets of Elkhart East LLC is a Community/Retail Pharmacy organization in Elkhart, IN (NPI 1366521171).
Provider details
- NPI number
- 1366521171
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amy Ellis, Director of Pharmacy(616) 878-2848
- License
- 60005670A (IN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3900 E Bristol St
Elkhart, IN 46514-4466
Phone: (574) 970-0004
Street-level locationGet directions
Mailing address
1527 Momentum Place
Chicago, IL 60689-5315
Other names (DBA / former)
- Doing business as
- Martin'S Pharmacy #17
- Doing business as
- Martin'S Pharmacy #17
- Doing business as
- Martin'S Pharmacy #2317
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Frequently asked questions
- What is Martin'S Super Markets of Elkhart East LLC's NPI number?
- Martin'S Super Markets of Elkhart East LLC's National Provider Identifier (NPI) is 1366521171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Martin'S Super Markets of Elkhart East LLC?
- Martin'S Super Markets of Elkhart East LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Martin'S Super Markets of Elkhart East LLC located?
- Martin'S Super Markets of Elkhart East LLC's practice location on file with NPPES is 3900 E Bristol St, Elkhart, IN 46514-4466.
- What is Martin'S Super Markets of Elkhart East LLC's phone number?
- The practice phone number listed in the NPPES registry for Martin'S Super Markets of Elkhart East LLC is (574) 970-0004.
- Who is the authorized official for Martin'S Super Markets of Elkhart East LLC?
- The authorized official listed on Martin'S Super Markets of Elkhart East LLC's NPPES record is Amy Ellis, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Martin'S Super Markets of Elkhart East LLC's NPI active?
- Yes — Martin'S Super Markets of Elkhart East LLC's NPI (1366521171) is active in the NPPES registry as of the last update on 2023-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.