Active NPI
Cynthia Anne Magnifico, RPH
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1033215652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP032138L
- Practice address
- 3019 Coit Ave NE
Grand Rapids, MI 49505-3376 - Phone
- (616) 365-9575
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP032138L | PA | Primary |
Addresses
Primary practice location
3019 Coit Ave NE
Grand Rapids, MI 49505-3376
Mailing address
5455 Ranger Hills Dr SE
Grand Rapids, MI 49546-6443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP032138L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033215652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 RANGER HILLS DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 COIT AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053376",
"telephone_number": "616-365-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNIFICO",
"first_name": "CYNTHIA",
"middle_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP032138L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.