DR. DARIUS FITZGERALD MARRA (NPI# 1255830303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255830303 |
| Entity Type | Individual |
| Full Name | DR. DARIUS FITZGERALD MARRA |
| Credential | PHARM.D |
| Practice Address |
630 E Broadway Blvd Jefferson City TN 37760-4900 |
| Practice Telephone | 8654753736 |
| Practice Fax Number | 8654753954 |
| Mailing Telephone | 8654753736 |
| Mailing Fax Number | 8654753954 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7953 | TN | Pharmacy Service Providers |
| Street Address |
630 E BROADWAY BLVD |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582070 | Cherie Renee Archambeault | Optometrist | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2006-01-17 |
| 1417456245 | Robert Bruce Lowry | Pharmacist | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2018-02-07 |
| 1578061297 | Megan Elizabeth Alder | Pharmacist | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2018-01-28 |
| 1922198126 | Wal-mart Stores East, Lp | Technician/Technologist | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2006-10-16 |
| 1760409940 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639706872 | Megan Fast | Pharmacist | 3425 W Truman Blvd, Jefferson City, MO 65109-5713 | 2020-03-26 |
| 1144790684 | Comprehensive Pharmaceutical Services, Inc. | Pharmacist | 3432 W Truman Blvd Ste 201, Jefferson City, MO 65109-0698 | 2018-11-27 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1578859161 | Debi Sue Marsh | Pharmacist | 630b E High St, Jefferson City, MO 65101-3219 | 2011-06-22 |
| 1699007930 | Jerry A Schupp | Pharmacist | 2304 Missouri Blvd, Jefferson City, MO 65109-4729 | 2010-02-11 |
| 1780853291 | Richard D. Sartor | Pharmacist | 226 E High St, Jefferson City, MO 65101-3207 | 2008-02-28 |
| 1821193053 | Uldis V Pironis | Pharmacist | 751 S Stadium, Jefferson City, MO 65109 | 2006-09-13 |
| 1831197078 | Rhonda Alexander Driver | Pharmacist | 2023 Saint Marys Blvd, Jefferson City, MO 65109-1101 | 2005-07-12 |
| 1932103686 | George Louis Oestreich | Pharmacist | 3714 Taylors Ridge Ct, Jefferson City, MO 65109-5882 | 2005-06-10 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
Please comment or provide details below to improve the information on DR. DARIUS FITZGERALD MARRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.