Mark McMahon, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

26644 Issued in NC

Practice address

2605 Raeford Rd
Fayetteville, NC 28303-5433

Phone

(919) 308-2602

NPI assigned

Jan 9, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306116223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OVERLOOK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119670",
            "telephone_number": "302-437-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035433",
            "telephone_number": "919-308-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Highmarket St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294402613",
            "country_code": "US",
            "telephone_number": "843-546-2568",
            "fax_number": "843-546-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13496",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "26644",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakitta McLeod
• Shirley M McLeod
• Sherma Phillip McLucas, FNP-C
• MCM DME & Supplies, Inc.
• Connette Pearl McMahon, MD
• Almeda McMillan
• Brittany McMillan
• Elizabeth McMillan, R.PH.
• Jacqueline McMillan, LPCA
• Nameka McMillan

• Pharmacist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.