Organization Active NPI

Mara Pharmacy Inc.

  • Community/Retail Pharmacy
  • Schaumburg, IL
National Provider Identifier
1720634728
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARA PHARMACY INC.
Practice address
129 S Roselle Rd Ste 200
Schaumburg, IL 60193-5539
Phone
(847) 641-5123
Fax
(847) 641-5128
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Jignesh Gandhi, PHARM D
Title
Owner
Phone
(630) 660-1709

Specialties & licenses 1

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

Addresses

Primary practice location

129 S Roselle Rd Ste 200
Schaumburg, IL 60193-5539

Mailing address

129 S Roselle Rd Ste 200
Schaumburg, IL 60193-5539
Phone (847) 641-5123

Other names 1

  • Mara Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2201567Mara Pharmacy129 S Roselle Rd #200, Schaumburg, IL 60193Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory

Locations

129 S Roselle Rd
Ste 200
Schaumburg, IL 60193
Phone (847) 641-5123

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1720634728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S ROSELLE RD STE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935539",
            "telephone_number": "847-641-5123",
            "fax_number": "847-641-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S ROSELLE RD STE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935539",
            "telephone_number": "847-641-5123",
            "fax_number": "847-641-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-660-1709",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mara Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.