Active NPI
Marie-Rosine Kagabo
- Pharmacist
- Cleveland Heights, OH
National Provider Identifier
1316492374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03334872
- Practice address
- 3020 Mayfield Rd
Cleveland Heights, OH 44118-1702 - Phone
- (216) 932-4759
- NPI assigned
- Aug 19, 2016
- Last updated
- Aug 19, 2016
- 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 | 03334872 | OH | Primary |
Addresses
Primary practice location
3020 Mayfield Rd
Cleveland Heights, OH 44118-1702
Mailing address
3020 Mayfield Rd
Cleveland Heights, OH 44118-1702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03334872 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1316492374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 MAYFIELD RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 MAYFIELD RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181702",
"telephone_number": "216-932-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGABO",
"first_name": "MARIE-ROSINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03334872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland Heights, OH
- Mecca Monique Jones
- Regina A Jones, LPN
- Tammy Andrea Jones, HIGH SCHOOL DIPLOMA
- Janeatra Jordan
- Just Like Familee III, Inc
- Kaiser Foundation Health Plan (Cleveland Heights Medical Offices Laboratory)
- Kaiser Permanente (Cleveland Heights Medical Offices)
- Tehila Kaisman-Elbaz
- Kalikare
- Melissa Ann Kalinowski, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.