Active NPI
Mary Ann Mahajan, RPH, PHD
- Pharmacist
- Montour Falls, NY
National Provider Identifier
1194237628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037554
- Practice address
- 220 Steuben St
Montour Falls, NY 14865-9740 - Phone
- (607) 535-8639
- Fax
- (607) 535-2463
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 037554 | NY | Primary |
Addresses
Primary practice location
220 Steuben St
Montour Falls, NY 14865-9740
Mailing address
220 Steuben St
Montour Falls, NY 14865-9740
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037554 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1194237628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STEUBEN ST",
"city": "MONTOUR FALLS",
"state": "NY",
"postal_code": "148659740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 STEUBEN ST",
"city": "MONTOUR FALLS",
"state": "NY",
"postal_code": "148659740",
"telephone_number": "607-535-8639",
"fax_number": "607-535-2463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAJAN",
"first_name": "MARY ANN",
"credential": "RPH, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montour Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.