NPIMap

Organization Active NPI

Adw Diabetes LLC

Doing business as ADW Diabetes Pharmacy

  • Mail Order Pharmacy
  • St Augustine, FL
National Provider Identifier
1407550528
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
ADW DIABETES LLC
Practice address
701 Market St Ste 108B
Saint Augustine, FL 32095-8803
Phone
(877) 241-9002
Fax
(954) 975-3786
NPI assigned
Mar 30, 2023
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADW DIABETES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Robert M McMahon, RPHNPI 1801166764
Title
Pharmacist in Charge
Phone
(954) 415-1434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

701 Market St Ste 108B
Saint Augustine, FL 32095-8803

Mailing address

2501 NW 34TH PL Ste 35
Pompano Beach, FL 33069-5930
Phone (877) 241-9002

Other names 1

  • ADW Diabetes Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Adw Diabetes LLC4 organizations share this tax ID, including this one
Part of
Adw Diabetes LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 Market St
Ste 108B
St Augustine, FL 32095
Phone (877) 241-9002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1407550528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NW 34TH PL STE 35",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695930",
            "telephone_number": "877-241-9002",
            "fax_number": "954-975-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MARKET ST STE 108B",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958803",
            "telephone_number": "877-241-9002",
            "fax_number": "954-975-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADW DIABETES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADW DIABETES LLC",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "954-415-1434",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADW Diabetes Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADW Diabetes Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.