Gerard a Marra Sr Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00014400 Issued in NJ

Legal business name

GERARD A MARRA SR INC

Doing business as

Marras Drug Store

Practice address

1285 Paterson Plank Rd
Secaucus, NJ 07094-3228

Phone

(201) 865-3540

Fax

(201) 865-5537

NPI assigned

Mar 1, 2007

Last updated

Nov 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Marra, BS. RPHNPI 1487519302

Title

Pharmacist in Charge

Phone

(201) 865-3540

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARRAS DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph M. Marra, PHARMACIST

  • Pharmacist
  • Clifton, NJ
  • NPI 1487519302
  NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1457489718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943228",
            "telephone_number": "201-865-3540",
            "fax_number": "201-865-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943228",
            "telephone_number": "201-865-3540",
            "fax_number": "201-865-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD A MARRA SR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-865-3540",
        "authorized_official_credential": "BS. RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00014400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4250702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARRAS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Louise Garcia, FNP
• Garden State Adult Medical Day Care Center LLC
• Nicole Rose Garey, PA-C
• Amy Gargin, DPT
• Marigona Gashi, PA-C
• Agnieszka Golabek, A.P.N.
• Angie Gomez
• Licelot Gonzalez, RBT
• Kevin Goodman
• Manasa Nidagalle Gowda, DO

• Community/Retail Pharmacy in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.