NPIMap

Individual provider Active NPI

Dan C McConaghy, RPH

  • Pharmacist
  • Axis, AL
National Provider Identifier
1518955459
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9695 Issued in AL
Practice address
11416 Old Highway 43
Axis, AL 36505-4646
Phone
(251) 675-3228
Fax
(251) 675-4209
NPI assigned
Oct 13, 2005
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9695 AL Primary

Addresses

Primary practice location

11416 Old Highway 43
Axis, AL 36505-4646

Mailing address

11416 Old Highway 43
P.O.Box 100
Axis, AL 36505-4646
Phone (251) 675-3228

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

Organizations & group practices 1

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1518955459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 OLD HIGHWAY 43",
            "address_2": "P.O.BOX 100",
            "city": "AXIS",
            "state": "AL",
            "postal_code": "365054646",
            "telephone_number": "251-675-3228",
            "fax_number": "251-675-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 OLD HIGHWAY 43",
            "city": "AXIS",
            "state": "AL",
            "postal_code": "365054646",
            "telephone_number": "251-675-3228",
            "fax_number": "251-675-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAGHY",
        "first_name": "DAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "9695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Axis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.