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Maranatha Pharmacy Services

NPI 1629832365ActiveOrganization· Pharmacy, Mail Order Pharmacy· Glen Ridge, NJ

Pharmacy, Mail Order Pharmacy in Glen Ridge, New Jersey, registered in NPPES in February 2024. The authorized official on file is Josuee Anne Mertyl, PHARMACIST, Director Of Pharmacy Services.

Overview

NPI1629832365
StatusActive
Entity typeOrganization
NPI issuedFeb 13, 2024
Last updated in NPPESFeb 13, 2024
Certified by providerFeb 13, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Mail Order Pharmacy Primary3336M0002X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years