Individual provider Active NPI

Michael Maruca

  • Pharmacist
  • Latrobe, PA
National Provider Identifier
1336802545
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039982L Issued in PA
Practice address
1050 Mountain Laurel PLZ
Latrobe, PA 15650-5214
Phone
(724) 537-4995
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039982L PA Primary

Addresses

Primary practice location

1050 Mountain Laurel PLZ
Latrobe, PA 15650-5214

Mailing address

1050 Mountain Laurel PLZ
Latrobe, PA 15650-5214
Phone (724) 537-4995

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

State licenses

LicenseStateTypeSpecialty
RP039982LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Giant Eagle, Inc PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1336802545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MOUNTAIN LAUREL PLZ",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505214",
            "telephone_number": "724-537-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MOUNTAIN LAUREL PLZ",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505214",
            "telephone_number": "724-537-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039982L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.