Active NPI
Madonna Virginia Magness-Simon, RPH
- Pharmacist
- Gettysburg, PA
National Provider Identifier
1154923779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP031850L
- Practice address
- 44 Natural Springs Rd
Gettysburg, PA 17325-7502 - Phone
- (717) 337-0585
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | RP031850L | PA | Primary |
Addresses
Primary practice location
44 Natural Springs Rd
Gettysburg, PA 17325-7502
Mailing address
212 Melinda Dr
York, PA 17408-6227
Phone (717) 225-4833
Other practice location 1
3175 Cape Horn Rd
Red Lion, PA 17356-8806
Phone (717) 246-7478
Other practice location 2
3175 Cape Horn Road
c/o Giant Pharmacy 6300
Red Lion, PA 17356
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 |
|---|---|---|---|
| RP031850L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Past | Accepting new patients | |
| The Giant Company, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Gettysburg, PA
- NPI 1902838923
-
- Community/Retail Pharmacy
- Quarryville, PA
- NPI 1952182305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1154923779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 MELINDA DR",
"city": "YORK",
"state": "PA",
"postal_code": "174086227",
"telephone_number": "717-225-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 NATURAL SPRINGS RD",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257502",
"telephone_number": "717-337-0585"
}
],
"practiceLocations": [
{
"address_1": "3175 Cape Horn Rd",
"address_purpose": "LOCATION",
"city": "Red Lion",
"state": "PA",
"postal_code": "173568806",
"country_code": "US",
"telephone_number": "717-246-7478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3175 Cape Horn Road",
"address_2": "c/o Giant Pharmacy 6300",
"address_purpose": "LOCATION",
"city": "Red Lion",
"state": "PA",
"postal_code": "17356",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGNESS-SIMON",
"first_name": "MADONNA",
"middle_name": "VIRGINIA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP031850L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.