Organization Active NPI

Marras Pharma Corp

Doing business as Marra's Pharmacy

  • Community/Retail Pharmacy
  • Cohoes, NY
National Provider Identifier
1720662547
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARRAS PHARMA CORP
Doing business as
Marra's Pharmacy
Practice address
217 Remsen St
Cohoes, NY 12047-3024
Phone
(518) 237-2110
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Rajendra P Appalaneni
Title
President
Phone
(201) 421-6440

Specialties & licenses 1

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

Addresses

Primary practice location

217 Remsen St
Cohoes, NY 12047-3024

Mailing address

217 Remsen St
Cohoes, NY 12047-3024
Phone (518) 237-2110

Other names 1

  • MARRA'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20210709001437 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7315349560 Practice locations: Cohoes, NY
O20210713001108 NY DME Supplier - Pharmacy 7315349560 Practice locations: Cohoes, NY
O20210715001975 NY Part B Supplier - Pharmacy 7315349560 Practice locations: Cohoes, NY
O20211108000100 NY Part B Supplier - Independent Clinical Laboratory 7315349560 Practice locations: Cohoes, NY

National Provider Directory

National Provider Directory
Tax ID family
Marras Pharma Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1720662547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 REMSEN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473024",
            "telephone_number": "518-237-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 REMSEN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473024",
            "telephone_number": "518-237-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRAS PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-421-6440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARRA'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cohoes, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.