Active NPI
John Patrick McKenna, RPH
- Pharmacist
- Follansbee, WV
National Provider Identifier
1205127768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5979
- Practice address
- 1600 Main St
Follansbee, WV 26037-1259 - Phone
- (304) 527-4082
- Fax
- (304) 527-1907
- NPI assigned
- May 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5979 | WV | Primary |
| Pharmacist | 183500000X | 03322133 | OH |
Addresses
Primary practice location
1600 Main St
Follansbee, WV 26037-1259
Mailing address
1600 Main St
Follansbee, WV 26037-1259
Phone (304) 527-4082
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03322133 | OH | MD | Pharmacist |
| 5979 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1205127768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MAIN ST",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260371259",
"telephone_number": "304-527-4082",
"fax_number": "304-527-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MAIN ST",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260371259",
"telephone_number": "304-527-4082",
"fax_number": "304-527-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "JOHN",
"middle_name": "PATRICK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "5979",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03322133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Follansbee, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.