NPIMap

Organization Active NPI

Maar Indiana Inc.

  • Community/Retail Pharmacy
  • Merrillville, IN
National Provider Identifier
1508287111
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006364A Issued in IN
Legal business name
MAAR INDIANA INC.
Practice address
5304 Broadway
Merrillville, IN 46410-1555
Phone
(219) 884-2640
Fax
(219) 884-2650
NPI assigned
Dec 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Mr. Mahendra Khatau
Title
Owner
Phone
(630) 747-9881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60006364A IN Primary

Addresses

Primary practice location

5304 Broadway
Merrillville, IN 46410-1555

Mailing address

5304 Broadway
Merrillville, IN 46410-1555
Phone (219) 884-2640

Other names 1

  • Broadway Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1508287111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101555",
            "telephone_number": "219-884-2640",
            "fax_number": "219-884-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101555",
            "telephone_number": "219-884-2640",
            "fax_number": "219-884-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAAR INDIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "KHATAU",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-747-9881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006364A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.