Active NPI
August Louis Magnanti Jr
- Pharmacist
- Rome, NY
National Provider Identifier
1881874410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 027910
- Practice address
- 405 Erie Blvd W
Rome, NY 13440-4803 - Phone
- (315) 337-4120
- NPI assigned
- Nov 12, 2007
- Last updated
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 027910 | NY | Primary |
Addresses
Primary practice location
405 Erie Blvd W
Rome, NY 13440-4803
Mailing address
405 Erie Blvd. West
Rome, NY 13440-5739
Phone (315) 339-1392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00584652 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027910 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Rite Aid of New York 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.
-
dba Rite Aid Pharmacy 03733
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1881874410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ERIE BLVD. WEST",
"city": "ROME",
"state": "NY",
"postal_code": "134405739",
"telephone_number": "315-339-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 ERIE BLVD W",
"city": "ROME",
"state": "NY",
"postal_code": "134404803",
"telephone_number": "315-337-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNANTI JR",
"first_name": "AUGUST",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "027910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00584652",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.