Active NPI
Jeanna M Marraffa, PHARM.D. DABAT
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Syracuse, NY
National Provider Identifier
1306161336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 048075
- Practice address
- 250 Harrison St
Upstate Ny Poison Center
Syracuse, NY 13202 - Phone
- (315) 464-7076
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 048075 | NY | Primary |
Addresses
Primary practice location
250 Harrison St
Upstate Ny Poison Center
Syracuse, NY 13202
Mailing address
1237 Greenview Dr
Utica, NY 13501-4111
Phone (315) 464-7076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048075 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Interoperability endpoints
- jmarraffa5584@direct.upstate.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1306161336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 GREENVIEW DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135014111",
"telephone_number": "315-464-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 HARRISON ST",
"address_2": "UPSTATE NY POISON CENTER",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRAFFA",
"first_name": "JEANNA",
"middle_name": "M",
"credential": "PHARM.D. DABAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NY",
"license": "048075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.