McMahon Drug Store
Organization Active NPI Pharmacy · Corning, IA
NPI 1275548810 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1275548810
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 405 (IA)
- Legal business name
- MCMAHON DRUG STORE
- Practice address
- 625 Davis Ave
Corning, IA 50841-1616 - Phone
- (641) 322-3454
- Fax
- (641) 322-5277
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- John McMahon, RPH
- Title
- Owner
- Phone
- (641) 322-6454
National Provider Directory
Locations
625 Davis Ave
Corning, IA 50841
Phone (641) 322-3454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 405 | IA | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
625 Davis Ave
Corning, IA 50841-1616
Mailing address
625 Davis Ave
Corning, IA 50841-1616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002258 | Medicaid | IA | |
| 1603984 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other providers in Corning, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.