Active NPI
Elizabeth McMahon, PHARMD
- Pharmacist
- Watertown, SD
National Provider Identifier
1326701665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125423
- Practice address
- 421 9TH Ave SE
Watertown, SD 57201-4955 - Phone
- (605) 882-3788
- NPI assigned
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 6886 | SD | |
| Pharmacist | 183500000X | 125423 | MN | Primary |
Addresses
Primary practice location
421 9TH Ave SE
Watertown, SD 57201-4955
Mailing address
421 9TH Ave SE
Watertown, SD 57201-4955
Phone (605) 882-3788
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 |
|---|---|---|---|
| 125423 | MN | MD | Pharmacist |
| 6886 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Grand St. Paul CVS LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Grand St Paul CVS LLC | Past | Accepting new patients |
Locations
421 9th Ave SE
Watertown, SD 57201
Phone (605) 882-3788
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1326701665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 9TH AVE SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014955",
"telephone_number": "605-882-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 9TH AVE SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014955",
"telephone_number": "605-882-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6886",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.