Tegan K Magsam, PHARMD, BCACP, CPP

Primary specialty

PharmacistTaxonomy code 183500000X

License

25082 Issued in NC

Practice address

3101 John Humphries Wynd
Raleigh, NC 27612-5302

Phone

(919) 881-8272

NPI assigned

Feb 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Triangle Arthritis and Rheumatology Associates

  • Rheumatology Physician
  • Raleigh, NC
  • NPI 1700837325
  NPD

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1760807226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S SAUNDERS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032156",
            "telephone_number": "580-716-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 JOHN HUMPHRIES WYND",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125302",
            "telephone_number": "919-881-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Emperor Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277038418",
            "country_code": "US",
            "telephone_number": "984-974-6531",
            "fax_number": "866-477-1841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Nc Highway 54 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27713",
            "country_code": "US",
            "telephone_number": "919-354-6533",
            "fax_number": "919-405-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGSAM",
        "first_name": "TEGAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCACP, CPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "25082",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "25082",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jerome J Magolan Jr., M.D.
• Erin Maher, MS, CCC/SLP
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• Valarie Mahoney-Kong
• Erin Kelsey Mahoney, PA

• Pharmacist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.