Individual provider Active NPI

Madonna Virginia Magness-Simon, RPH

  • Pharmacist
  • Gettysburg, PA
National Provider Identifier
1154923779
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP031850L Issued in PA
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

Updated by the provider on Nov 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RP031850LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Giant Company, LLC PastSince Nov 15, 2020 Accepting new patients
The Giant Company, LLC PastSince Nov 15, 2020 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.

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.

Verify at the official NPI Registry.