Marina Bay Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARINA BAY PHARMACY, LLC

Practice address

1416 E Main St Ste C
League City, TX 77573-4153

Phone

(832) 932-3696

Fax

(832) 932-3697

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Johanna Lazano

Title

Corporate Officer

Phone

(832) 932-3696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616284800000",
    "number": "1073140026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E MAIN ST STE C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734153",
            "telephone_number": "832-932-3696",
            "fax_number": "832-932-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E MAIN ST STE C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734153",
            "telephone_number": "832-932-3696",
            "fax_number": "832-932-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA BAY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A",
        "authorized_official_last_name": "LAZANO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "832-932-3696"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in League City, TX
• Providers in League City, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.