Active NPI
MRN Drugs Inc
- Pharmacy
- Bronx, NY
National Provider Identifier
1346521762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 030841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Panamkadaveth Rajaram, R.PH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryMember 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.
-
- Pharmacist
- Brooklyn, NY
- NPI 1386886158
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.