John Mahoney, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4756 Issued in AZ

Practice address

23 McNab Parkway
San Manuel, AZ 85631

Phone

(520) 385-2234

Fax

(520) 385-2113

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659447647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852300097",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MCNAB PARKWAY",
            "city": "SAN MANUEL",
            "state": "AZ",
            "postal_code": "85631",
            "telephone_number": "520-385-2234",
            "fax_number": "520-385-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "4756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4756",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Arlene Duffett, NP
• Anne Marie Fister, CCC-SLP
• Jacy Kathleen Godsey, APRN-CNP
• Debra Hill
• Los Nino'S Day Care of Catalina LLC
• Mammoth-San Manuel Usd #8
• Boru Nale, M.D.
• Jane Ann Newman, PH.D.
• Gary Lee Reyes, PTA
• Kent Shelton

• Pharmacist in San Manuel, AZ
• Providers in San Manuel, AZ by specialty
• Pharmacist in Arizona

• 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.

Verify at the official NPI Registry.