Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235110479 Deactivated / Inactive NPI Female Practitioner

Marisa Lyn Magda , RPH

Pharmacist • Viera, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marisa Magda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2005
NPI Deactivation Date September 13, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Marisa Magda, RPH was a registered Pharmacist practicing in Viera, FL. Throughout an active medical career spanning 16 years, Marisa Magda provided care at the practice location at 2900 VETERANS WAY until profile deactivation on 2021-09-13.

Practice Location & Contact Primary Location

Practice Address

2900 Veterans Way

Viera, FL 329408007

Telephone 3216373788
Fax 3216373552
Associated Practice Facility / Clinic
🏢 Sandra Teuber Facility NPI 1730155185

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Viera, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Viera, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WV 3850

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. William Savino , PharmD

Pharmacist - Ambulatory Care

NPI 1003519174

Doctor of Pharmacy (Pharm.D.)

Dr. Ranae Reed , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013085133

Doctor of Pharmacy (Pharm.D.)

Jorge Carbajosa , LCSW

Social Worker - Clinical

NPI 1013093632

Licensed Clinical Social Worker

Erin Caleb

Pharmacy Technician

NPI 1033356282
Douglas Bratholt , LCSW

Social Worker - Clinical

NPI 1033455076

Licensed Clinical Social Worker

NPI 1043644966

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2021

Record deactivated on September 13, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2900 VETERANS WAY, VIERA, FL 329408007 (Tel: 3216373788)

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Updated Business Mailing Address July 08, 2007

Registered at 1824 BARRINGTON CIR, ROCKLEDGE, FL 329553062 (Tel: 3216319952)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARISA MAGDA, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #3850 in WV)

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Initial NPI Registration & Enumeration November 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235110479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: July 08, 2007
Deactivation Date: September 13, 2021

Mailing Address

1824 Barrington Cir

Rockledge, FL 329553062

Phone: 3216319952

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.