Organization Active NPI

McMahan Pharmacy Services, Inc.

  • Long Term Care Pharmacy
  • Goldthwaite, TX
National Provider Identifier
1679134845
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MCMAHAN PHARMACY SERVICES, INC.
Practice address
1503 W Front St
Goldthwaite, TX 76844-2056
Phone
(325) 648-2484
Fax
(855) 899-4147
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Michael McMahan, RPH
Title
Owner, Pic
Phone
(325) 648-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1503 W Front St
Goldthwaite, TX 76844-2056

Mailing address

PO Box 389
Goldthwaite, TX 76844-0389
Phone (325) 648-2484

Other identifiers 1

IdentifierTypeStateIssuer
141499MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1679134845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768440389",
            "telephone_number": "325-648-2484",
            "fax_number": "855-899-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W FRONT ST",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768442056",
            "telephone_number": "325-648-2484",
            "fax_number": "855-899-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHAN PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "325-648-2484",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldthwaite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.