Magnolia RX Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MAGNOLIA RX INC

Practice address

2032 3Rd Ave
New York, NY 10029-2802

Phone

(212) 369-6075

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ahsan Nadeem

Title

President

Phone

(212) 369-6075

Specialties & licenses 2

Addresses

Other names 1

• Magnolia Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1386262004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292802",
            "telephone_number": "212-369-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-369-6075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devora Magner, RN
• Douglas P Magner, DDS
• Michelle Iolanda Magno, LMHC
• Samantha Aileen Magno, CRNA
• Magnolia Pharmacy Inc
• Jasmine Magnolia
• Melissa Anne Magnolia, AU.D.
• Ashley Magnussen, CRPA, CASAC T
• Harrald V Magny, PH.D.
• Sheku S Magona, M.D.

• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.