# RAINA RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Route 300 Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164881942
- **Authorized official:** NICHOLAS MAROULIS PHARMD (VICE PRESIDENT)
- **Authorized official phone:** (689) 263-5021

## Contact information

- **Practice address:** 1208 ROUTE 300 STE 103, NEWBURGH, NY 12550-5003
- **Practice address phone:** (800) 810-9274
- **Mailing address:** 3200 LAKE EMMA RD UNIT 1000, LAKE MARY, FL 32746-3358
- **Mailing address phone:** (845) 275-0816
- **Mailing address fax:** (845) 275-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 034308 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 06/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04949428 | — | NY |
| 01 | — | 2158749 | PK | — |