Mackenzie Rose Minogue, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04202900 Issued in NJ

Practice address

1890 Route 88
Brick, NJ 08724-3535

Phone

(732) 836-3282

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #04885

  • Pharmacy
  • Brick, NJ
  • NPI 1518972504
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1225708993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CROSSBROOKE CT",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243535",
            "telephone_number": "732-836-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOGUE",
        "first_name": "MACKENZIE",
        "middle_name": "ROSE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04202900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Mills, LPC, LCADC
• Kristin Mills, LSW
• Edward Michael Millward, DMD
• Kristopher Mincieli, DO
• Mindful Therapy Solutions, LLC (Mindful Healing and Trauma Recovery)
• Mira Vie at Brick Opco LLC (Mira Vie at Brick)
• Robin Mirabelli
• Natalie Mischenko, MA, LCADC
• Mariam Missak
• MLH Psychological Services, LLC (Balance Mental Wellness, LLC)

• Pharmacist in Brick, NJ
• Providers in Brick, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.