Organization Active NPI

George a Marra Dba Medical Pharmacy

  • Community/Retail Pharmacy
  • Stoughton, MA
National Provider Identifier
1063427672
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1709 Issued in MA
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

Updated by the provider on Feb 11, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2213659OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.