Active NPI
Jean Marie Maroulis, PHARM D
- Pharmacist
- New York, NY
National Provider Identifier
1427614064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059201
- Practice address
- 346 Bleecker St
New York, NY 10014-2980 - Phone
- (212) 807-7566
- NPI assigned
- May 18, 2019
- 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 | 183500000X | 059201 | NY | Primary |
Addresses
Primary practice location
346 Bleecker St
New York, NY 10014-2980
Mailing address
155 E 88TH St Apt 3B
New York, NY 10128-2285
Phone (917) 847-8217
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 |
|---|---|---|---|
| 059201 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pharmacy Corp | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558137600000",
"number": "1427614064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E 88TH ST APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282285",
"telephone_number": "917-847-8217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 BLEECKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100142980",
"telephone_number": "212-807-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROULIS",
"first_name": "JEAN MARIE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-18",
"last_updated": "2019-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.