Active NPI
James Henderson McMahon V, RPH
- Pharmacist
- Oak Ridge, TN
National Provider Identifier
1396871141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000000779
- Practice address
- CVS Pharmacy
1287 Oak Ridge Turnpike
Oak Ridge, TN 37830 - Phone
- (865) 483-4394
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000000779 | TN | Primary |
Addresses
Primary practice location
CVS Pharmacy
1287 Oak Ridge Turnpike
Oak Ridge, TN 37830
Mailing address
23 Palisades Pkwy
Oak Ridge, TN 37830-7250
Phone (865) 483-3623
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 |
|---|---|---|---|
| 0000000779 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396871141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PALISADES PKWY",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307250",
"telephone_number": "865-483-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CVS PHARMACY",
"address_2": "1287 OAK RIDGE TURNPIKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-483-4394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "JAMES",
"middle_name": "HENDERSON",
"name_suffix": "V",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000000779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.