Michael Thomas Magovac

Primary specialty

PharmacistTaxonomy code 183500000X

License

03112247 Issued in OH

Practice address

340 Westwind Dr
Norwalk, OH 44857-9104

Phone

(419) 663-2413

NPI assigned

Nov 3, 2020

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1699376186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BERKSHIRE CT",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391487",
            "telephone_number": "419-602-1179",
            "fax_number": "419-668-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WESTWIND DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448579104",
            "telephone_number": "419-663-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOVAC",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "12247",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03112247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L. Lunsford, RN
• Megan F Lunsford, FNP-C
• Luther Oak
• Abbey Marie Lynch, MA, CCC-A
• Deborah Martin Lyon, L.P.C.C.
• Bayley Young Malicki
• Jenna L Malott, MS, RDLD
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• Pharmacist in Norwalk, OH
• Providers in Norwalk, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.