Organization Active NPI

MRN Drugs Inc

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1346521762
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
030841 Issued in NY
Legal business name
MRN DRUGS INC
Practice address
1262 Boston Road
Bronx, NY 10456
Phone
(347) 699-6006
Fax
(347) 590-5487
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mr. Panamkadaveth Rajaram, R.PHNPI 1386886158
Title
V.Pres.
Phone
(347) 699-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 030841 NY Primary

Addresses

Primary practice location

1262 Boston Road
Bronx, NY 10456

Mailing address

1262 Boston Road
Bronx, NY 10456
Phone (347) 699-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120203000094 NY DME Supplier - Pharmacy 3870750821 Practice locations: Bronx, NY
O20230907000884 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3870750821 Practice locations: Bronx, NY
O20260128000511 NY Part B Supplier - Pharmacy 3870750821 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1346521762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BOSTON ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "347-699-6006",
            "fax_number": "347-590-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "347-699-6006",
            "fax_number": "347-590-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "PANAMKADAVETH",
        "authorized_official_title_or_position": "V.PRES.",
        "authorized_official_telephone_number": "347-699-6006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.