Organization Active NPI

Marras Pharma Corp

  • Long Term Care Pharmacy
  • Cohoes, NY
National Provider Identifier
1154905560
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MARRAS PHARMA CORP
Practice address
217 Remsen St
Cohoes, NY 12047-3024
Phone
(518) 237-2110
Fax
(518) 237-5513
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Mr. Praveen Kumar Challa, RPH
Title
Secretary
Phone
(518) 237-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

217 Remsen St
Cohoes, NY 12047-3024

Mailing address

PO Box 229
Cohoes, NY 12047-0229
Phone (518) 237-2110

Other identifiers 1

IdentifierTypeStateIssuer
038698OtherNYNY STATE LICENSE

Other names 1

  • Marras Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marras Pharma Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 Remsen St
Cohoes, NY 12047
Phone (518) 233-8208

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1154905560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120470229",
            "telephone_number": "518-237-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 REMSEN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473024",
            "telephone_number": "518-237-2110",
            "fax_number": "518-237-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRAS PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "518-237-2110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "038698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marras Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marras Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cohoes, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.