Active NPI
George a Marra Dba Medical Pharmacy
- Community/Retail Pharmacy
- Stoughton, MA
National Provider Identifier
1063427672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1709
- Legal business name
- GEORGE A MARRA DBA MEDICAL PHARMACY
- Practice address
- 769 Washington St
Stoughton, MA 02072-2952 - Phone
- (781) 344-2311
- Fax
- (508) 946-5040
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Marra, PHARM D
- Title
- Pharmacist
- Phone
- (781) 344-2311
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1709 | MA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
769 Washington St
Stoughton, MA 02072-2952
Mailing address
769 Washington St
Stoughton, MA 02072-2952
Phone (781) 344-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2213659 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MEDICAL PHARMACY
National Provider Directory
National Provider DirectoryLocations
769 Washington St
Stoughton, MA 02072
Phone (781) 344-2311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360540800000",
"number": "1063427672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 WASHINGTON ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722952",
"telephone_number": "781-344-2311",
"fax_number": "508-946-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 WASHINGTON ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722952",
"telephone_number": "781-344-2311",
"fax_number": "508-946-5040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE A MARRA DBA MEDICAL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2013-02-11",
"status": "A",
"authorized_official_last_name": "MARRA",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "781-344-2311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"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": "MA",
"license": "1709",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2213659",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.