Active NPI
Michelle Razon Raguindin, PHARMD
- Pharmacist
- Warm Springs, GA
National Provider Identifier
1578030425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25877
- Practice address
- 6135 Roosevelt Hwy
Warm Springs, GA 31830-2757 - Phone
- (706) 655-5418
- NPI assigned
- Oct 30, 2018
- Last updated
- Dec 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031954 | GA | |
| Pharmacist | 183500000X | 25877 | MD | Primary |
Addresses
Primary practice location
6135 Roosevelt Hwy
Warm Springs, GA 31830-2757
Mailing address
20884 Freedom Run Dr
Lexington Park, MD 20653-2497
Phone (301) 904-8375
Other practice location 1
150 Solomons Island Rd N
Prince Frederick, MD 20678-3906
Phone (410) 535-5552
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031954 | GA | MD | Pharmacist |
| 25877 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
dba Walmart Pharmacy 10-1716
- Community/Retail Pharmacy
- Prince Frederick, MD
- NPI 1992722268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1578030425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20884 FREEDOM RUN DR",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206532497",
"telephone_number": "301-904-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 ROOSEVELT HWY",
"city": "WARM SPRINGS",
"state": "GA",
"postal_code": "318302757",
"telephone_number": "706-655-5418"
}
],
"practiceLocations": [
{
"address_1": "150 Solomons Island Rd N",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206783906",
"country_code": "US",
"telephone_number": "410-535-5552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAGUINDIN",
"first_name": "MICHELLE",
"middle_name": "RAZON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031954",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warm Springs, GA
- Trina Nelson Ouzts, PT
- Palmetto Health Council, Inc. (YourTown Health)
- Carson Givens Pass, P.T.
- Sunette Payne, OTRL
- Cynthia Denise Perryman, RN-BSN CRRN
- Emily Nicole Reffitt, PT, DPT
- Kelly J Rice, OTRL
- Rhett Anthony Roberson, DPT
- Carnell Durrel Roberts Jr.
- Roosevelt Warm Springs Rehabilitation & Specialty Hospitals (Roosevelt Warm Springs Hospitalist)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.