Mari-Mina Pharmaceuticals Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49807 Issued in CA

Legal business name

MARI-MINA PHARMACEUTICALS INC

Practice address

10700 Jersey Blvd
330-340
Rancho Cucamonga, CA 91730-5116

Phone

(909) 948-0206

Fax

(909) 948-0075

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sameh Rokes, RPH

Title

President

Phone

(909) 465-9282

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Del's Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1013934876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 JERSEY BLVD",
            "address_2": "330-340",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305116",
            "telephone_number": "909-948-0206",
            "fax_number": "909-948-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 JERSEY BLVD",
            "address_2": "330-340",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305116",
            "telephone_number": "909-948-0206",
            "fax_number": "909-948-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI-MINA PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "ROKES",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-465-9282",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013934876",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariela Demi Maravilla, OTR/L
• Katie Marbach, RN
• Chamada March
• Mark Marella
• Oscar C Marella, R.P.T
• Mari-Mina Pharmaceuticals Inc
• Olga Maria
• Ed Carlo Hernandez Mariano
• Maricel Domiquel
• Jenny Marin Le

• Long Term Care Pharmacy in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.