Individual provider Active NPI

Hercules Tarambirwa Maguma, RPH

  • Pharmacist
  • Goldsboro, NC
National Provider Identifier
1740606573
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20236 Issued in NC
Practice address
1002 N Spence Ave
Goldsboro, NC 27534-4270
Phone
(919) 778-3238
Fax
(919) 778-3442
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20236 NC Primary

Addresses

Primary practice location

1002 N Spence Ave
Goldsboro, NC 27534-4270

Mailing address

1002 N Spence Ave
Goldsboro, NC 27534-4270
Phone (919) 778-3238

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
20236NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1740606573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344270",
            "telephone_number": "919-778-3238",
            "fax_number": "919-778-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344270",
            "telephone_number": "919-778-3238",
            "fax_number": "919-778-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUMA",
        "first_name": "HERCULES",
        "middle_name": "TARAMBIRWA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.