Martin Memorial Physician Corporation, Inc
NPI 1407365513 · Community/Retail Pharmacy · Port St Lucie, FL
Martin Memorial Physician Corporation, Inc is a Community/Retail Pharmacy organization in Port St Lucie, FL (NPI 1407365513).
Provider details
- NPI number
- 1407365513
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Timothy Longville, Chief Accounting Officer/Controller(216) 636-7416
- License
- PH30943 (FL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Other names (DBA / former)
- Doing business as
- Mhpg Tradition Pharmacy at Martin Health
Registry dates
- Enumerated
- 2017-09-21
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Frequently asked questions
- What is Martin Memorial Physician Corporation, Inc's NPI number?
- Martin Memorial Physician Corporation, Inc's National Provider Identifier (NPI) is 1407365513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Martin Memorial Physician Corporation, Inc?
- Martin Memorial Physician Corporation, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Martin Memorial Physician Corporation, Inc located?
- Martin Memorial Physician Corporation, Inc's practice location on file with NPPES is 10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129.
- What is Martin Memorial Physician Corporation, Inc's phone number?
- The practice phone number listed in the NPPES registry for Martin Memorial Physician Corporation, Inc is (772) 345-8166.
- Who is the authorized official for Martin Memorial Physician Corporation, Inc?
- The authorized official listed on Martin Memorial Physician Corporation, Inc's NPPES record is Timothy Longville, Chief Accounting Officer/Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Martin Memorial Physician Corporation, Inc's NPI active?
- Yes — Martin Memorial Physician Corporation, Inc's NPI (1407365513) is active in the NPPES registry as of the last update on 2022-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.