Maranatha Pharmacy Services

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

MARANATHA PHARMACY SERVICES

Practice address

123 Highland Ave Ste G2-B
Glen Ridge, NJ 07028-1527

Phone

(888) 344-4549

Fax

(908) 652-9230

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Josuee Anne Mertyl, PHARMACIST

Title

Director of Pharmacy Services

Phone

(888) 344-4549

Specialties & licenses 1

Addresses

Other names 1

• Transformational Pharmacy Services Doing business as

Locations

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1629832365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE G2-B",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "888-344-4549",
            "fax_number": "908-652-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE G2-B",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "888-344-4549",
            "fax_number": "908-652-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "MERTYL",
        "authorized_official_first_name": "JOSUEE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "888-344-4549",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformational Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet P Mack, RN, MSN, APN-C
• Jill Melinda Magioncalda, MSN, APRN, FNP- BC
• Magnus Imaging, LLC
• Hassan Malik
• Rachel Manez
• Domenic L Mariano, DO
• Kellie Ann McGuire, FNP
• Mecap Inc
• Andrea R. Medel, P.A.
• Medical Assoc of Montclair

• Mail Order Pharmacy in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Mail Order Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.