Mariagroupllc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MARIAGROUPLLC

Practice address

6641 Madison St
New Port Richey, FL 34652-1966

Phone

(727) 687-7500

Fax

(727) 845-8008

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Maya Jomon Antony

Title

Owner

Phone

(727) 687-7500

Specialties & licenses 1

Addresses

Other names 1

• Northbay Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1164860946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 BEREA DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 MADISON ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521966",
            "telephone_number": "727-687-7500",
            "fax_number": "727-845-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAGROUPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "ANTONY",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "JOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-687-7500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northbay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Mantilla, MA, LMHC
• Julie Marchenia, PA-C
• Brittany Marcinka
• Amgad N Marcus, M.D.
• Maria Claudia Alvarado LLC
• Tracy A Mark
• Wandaliz Marrero
• Casey Kennedy Marsh, RBT
• Darlene Ann Marshello, CAP, CBHCMS, HS-BCP
• Daireny Martin Hernandez

• Pharmacy in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.