Jack Zhixiang Mao, PHARMD, RPH, BS

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP452273 Issued in PA

Practice address

504 S Oxford Valley Rd
Fairless Hills, PA 19030-2615

Phone

(215) 945-5720

NPI assigned

Jun 15, 2018

Last updated

Feb 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1700370533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CRIMSON CT",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762462",
            "telephone_number": "215-837-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302615",
            "telephone_number": "215-945-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "JACK",
        "middle_name": "ZHIXIANG",
        "name_prefix": "Mr.",
        "credential": "PHARMD, RPH, BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030672",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Liu, MD
• Phyllis Loduca
• Sean Loose, MD
• Kelly Lyons, LPN
• Wendy Robin Mailman, M.D.
• Arun Kumar Mathur, DMD PHD
• Kimberly Ann McAllister, CRNP
• Stephen Edward McCormick
• Melissa McDonnell
• Shawn Robert McKay

• Pharmacist in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.