Thomas A. Magnifico, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302030831 Issued in MI

Practice address

4021 Cascade Rd SE
Suite 50
Grand Rapids, MI 49546-2177

Phone

(616) 974-9792

Fax

(616) 464-3469

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Keystone Pharmacy Inc

  • Compounding Pharmacy
  • Grand Rapids, MI
  • NPI 1316049745
  NPD (past)
• Keystone Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Grand Rapids, MI
  • NPI 1245942572
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1407859457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 RANGER HILLS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466443",
            "telephone_number": "616-498-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 CASCADE RD SE",
            "address_2": "SUITE 50",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462177",
            "telephone_number": "616-974-9792",
            "fax_number": "616-464-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNIFICO",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030831",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP032139L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Maggio, PHYSICIAN ASSISTANT
• Magic Touch Salon
• Adrianna Magnan
• Tessa Magner
• Cynthia Anne Magnifico, RPH
• Leah Jean Magnuson, NP
• Abbey Renee Magolan, PHARMD
• Gina Magri, LMSW
• Alexa Magsoudi, DO
• Jean Linda Maguire, LPC

• Pharmacist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.