Organization Active NPI

Marin Pharmacy LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1023379286
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARIN PHARMACY LLC
Practice address
1570-4 St. Nicholas Ave
New York, NY 10040-4351
Phone
(212) 795-1795
Fax
(212) 740-7868
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Saisatish Gunda
Title
Managing Member
Phone
(212) 795-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1570-4 St. Nicholas Ave
New York, NY 10040-4351

Mailing address

1570-4 Saint Nicholas Ave
New York, NY 10040-4351
Phone (212) 795-1795

Other names 1

  • MARIN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1576 Saint Nicholas Ave
New York, NY 10040
Phone (212) 795-1795

480 Lenox Ave
#A
New York, NY 10037

480A Lenox Ave
New York, NY 10037
Phone (212) 234-8800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1023379286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570-4 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404351",
            "telephone_number": "212-795-1795",
            "fax_number": "212-740-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570-4 ST. NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404351",
            "telephone_number": "212-795-1795",
            "fax_number": "212-740-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "GUNDA",
        "authorized_official_first_name": "SAISATISH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-795-1795"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.