Active NPI
Mary Ann Nagy, RPH
- Pharmacotherapy Pharmacist
- Detroit, MI
National Provider Identifier
1114189834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302025999
- Practice address
- 4100 John R St
Pharmacy Department
Detroit, MI 48201-2013 - Phone
- (313) 576-8814
- Fax
- (313) 576-8811
- NPI assigned
- Jun 25, 2008
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302025999 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Pharmacy Department
Detroit, MI 48201-2013
Mailing address
4100 John R St
Pharmacy Department
Detroit, MI 48201-2013
Phone (313) 576-8814
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 |
|---|---|---|---|
| 5302025999 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1114189834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"address_2": "PHARMACY DEPARTMENT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "313-576-8814",
"fax_number": "313-576-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"address_2": "PHARMACY DEPARTMENT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "313-576-8814",
"fax_number": "313-576-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGY",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302025999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.