Active NPI
Robert Bryan McMahan, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1144320631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012867
- Practice address
- 500 W Main St
Hum 17
Louisville, KY 40202-2946 - Phone
- (502) 580-2401
- Fax
- (502) 508-2401
- NPI assigned
- Sep 24, 2006
- 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 | 183500000X | 012867 | KY | Primary |
Addresses
Primary practice location
500 W Main St
Hum 17
Louisville, KY 40202-2946
Mailing address
1148 S 1St St
Apartment #1
Louisville, KY 40203-2804
Phone (502) 580-2401
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012867 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144320631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 S 1ST ST",
"address_2": "APARTMENT #1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032804",
"telephone_number": "502-580-2401",
"fax_number": "502-508-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"address_2": "HUM 17",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022946",
"telephone_number": "502-580-2401",
"fax_number": "502-508-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHAN",
"first_name": "ROBERT",
"middle_name": "BRYAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- 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.