Maranatha Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MARANATHA PHARMACY CORP

Practice address

138 Beacom Blvd
Miami, FL 33135-1534

Phone

(305) 642-7770

Fax

(305) 642-7771

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Alvarez

Title

President

Phone

(305) 642-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1699031807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BEACOM BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351534",
            "telephone_number": "305-642-7770",
            "fax_number": "305-642-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 BEACOM BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351534",
            "telephone_number": "305-642-7770",
            "fax_number": "305-642-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-7770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOC NUMB",
            "identifier": "3853",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mar-Lac Pharmacy Discount & Supply
• Mar-Lac Pharmacy Discount & Supply Corp
• Francesca Linette Maradiaga, SLP
• Samara Miranda Maradiaga
• Camila Marana, ARNP
• Margarita Marante Reyes
• Sofhia Marante Reyes
• Nilda De la Caridad Marante Santos
• Yipsy Leonor Marante Santos
• Edel Marante, OTR

• Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.