Venkata R Magisetty

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS39988 Issued in FL

Practice address

Winn-Dixie Store #0566
99 Elgin Parkway NW
Fort Walton Beach, FL 32548

Phone

(850) 244-1226

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891882569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SANDALWOOD DR NW",
            "address_2": "APT 5 G",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486709",
            "telephone_number": "850-602-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINN-DIXIE STORE #0566",
            "address_2": "99 ELGIN PARKWAY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "telephone_number": "850-244-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGISETTY",
        "first_name": "VENKATA",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Ann Macdonald, ARNP
• Theodore I Macey, MD PA
• Christina Ann Macmanus, LCSW
• Shannon Macmaster
• Kelsey Elizabeth Maddry-Smith, RBT
• Magnolia Manor Senior Day Program, LLC
• Magnolia Medical Clinic P.a.
• Magnolia Rehab Services (Magnolia Pediatric Therapy)
• Victoria Magnuson, PT, DPT
• Paula Magtanong

• Pharmacist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.