Active NPI
Richard Magliolo
- Pharmacist
- Lindale, TX
National Provider Identifier
1396335725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28377
- Practice address
- 23550 Champion Dr
Lindale, TX 75771-5473 - Phone
- (903) 530-8827
- NPI assigned
- Jan 20, 2021
- Sex
- Male
- 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 | 28377 | TX | Primary |
Addresses
Primary practice location
23550 Champion Dr
Lindale, TX 75771-5473
Mailing address
23550 Champion Dr
Lindale, TX 75771-5473
Phone (903) 530-8827
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 |
|---|---|---|---|
| 28377 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1396335725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23550 CHAMPION DR",
"city": "LINDALE",
"state": "TX",
"postal_code": "757715473",
"telephone_number": "903-530-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 CHAMPION DR",
"city": "LINDALE",
"state": "TX",
"postal_code": "757715473",
"telephone_number": "903-530-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLIOLO",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.