Individual provider Active NPI

Isabel Virginia Begazo Nunez, RPH

  • Pharmacist
  • Roscommon, MI
National Provider Identifier
1619499290
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302036889 Issued in MI
Practice address
425 N 5TH St
Roscommon, MI 48653-9329
Phone
(989) 275-5161
Fax
(989) 275-1131
NPI assigned
Jul 14, 2017
Last updated
Jul 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302036889 MI Primary

Addresses

Primary practice location

425 N 5TH St
Roscommon, MI 48653-9329

Mailing address

4883 N Ashford Way
Ypsilanti, MI 48197-6105
Phone (734) 678-0784

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302036889MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past Accepting new patients
Rite Aid of Michigan Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1619499290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 N ASHFORD WAY",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976105",
            "telephone_number": "734-678-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N 5TH ST",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486539329",
            "telephone_number": "989-275-5161",
            "fax_number": "989-275-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGAZO NUNEZ",
        "first_name": "ISABEL",
        "middle_name": "VIRGINIA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscommon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.