Active NPI
Michael S Maginnis, R.P. PHARM. D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kearney, NE
National Provider Identifier
1992075089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10284
- Practice address
- 4510 E 56TH St
Kearney, NE 68847-4118 - Phone
- (308) 865-3459
- NPI assigned
- Jan 5, 2012
- Last updated
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10284 | NE | Primary |
Addresses
Primary practice location
4510 E 56TH St
Kearney, NE 68847-4118
Mailing address
4510 E 56TH St
Kearney, NE 68847-4118
Phone (308) 865-3459
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 |
|---|---|---|---|
| 10284 | NE | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1992075089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 E 56TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688474118",
"telephone_number": "308-865-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 E 56TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688474118",
"telephone_number": "308-865-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGINNIS",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "R.P. PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-05",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NE",
"license": "10284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.