Active NPI
Marras Pharma Corp
- Long Term Care Pharmacy
- Cohoes, NY
National Provider Identifier
1154905560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038698 | Other | NY | NY STATE LICENSE |
Other names 1
- Marras Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Marras Pharma Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Cohoes, NY
- NPI 1720662547
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.