Provider Demographics
NPI:1992075089
Name:MAGINNIS, MICHAEL S (RP PHARM D)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:MAGINNIS
Suffix:
Gender:M
Credentials:RP PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 E 56TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-4118
Mailing Address - Country:US
Mailing Address - Phone:308-865-3459
Mailing Address - Fax:
Practice Address - Street 1:4510 E 56TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-4118
Practice Address - Country:US
Practice Address - Phone:308-865-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE102841835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist