Individual provider Active NPI

Magy Zarif Boghdady

  • Pharmacist
  • Riverbank, CA
National Provider Identifier
1487241733
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH80790 Issued in CA
Practice address
2224 Patterson Rd
Riverbank, CA 95367-9647
Phone
(209) 869-6499
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63698 TX
Pharmacist 183500000X RPH80790 CA Primary

Addresses

Primary practice location

2224 Patterson Rd
Riverbank, CA 95367-9647

Mailing address

24554 Diamond Ridge Dr
Hayward, CA 94544-1383

Other practice location 1

24554 Diamond Ridge Dr
Hayward, CA 94544-1383
Phone (972) 765-4000

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

LicenseStateTypeSpecialty
63698TXMDClinical Social Worker
RPH80790CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drug Store California LLC PastSince Dec 27, 2020 Accepting new patients
Longs Drug Stores California LLC PastSince Dec 27, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1487241733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24554 DIAMOND RIDGE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 PATTERSON RD",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953679647",
            "telephone_number": "209-869-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24554 Diamond Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945441383",
            "country_code": "US",
            "telephone_number": "972-765-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGHDADY",
        "first_name": "MAGY",
        "middle_name": "ZARIF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63698",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH80790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.