Individual provider Active NPI

Amanda Rochelle Madgy, PHARMD

  • Pharmacist
  • Whippany, NJ
National Provider Identifier
1801119557
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033724 Issued in MI
Practice address
121 Algonquin Pkwy
Whippany, NJ 07981-1601
Phone
(973) 503-1500
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033724 MI Primary
Pharmacist 183500000X 28RI03139500 NJ

Addresses

Primary practice location

121 Algonquin Pkwy
Whippany, NJ 07981-1601

Mailing address

PO Box 725204
Berkley, MI 48072-9998
Phone (248) 421-1861

Other names 1

  • Amanda Rochelle Tevlo Former name

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

LicenseStateTypeSpecialty
5302033724MIMDPharmacist
28RI03139500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnicare of New York, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1801119557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725204",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480729998",
            "telephone_number": "248-421-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ALGONQUIN PKWY",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811601",
            "telephone_number": "973-503-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADGY",
        "first_name": "AMANDA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033724",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03139500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TEVLO",
            "middle_name": "ROCHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.