Active NPI
Robert Michael McGowan, BS
- Pharmacist
- Honesdale, PA
National Provider Identifier
1720380116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039806T
- Practice address
- 650 Old Willow Ave
Honesdale, PA 18431-4218 - Phone
- (570) 253-3756
- Fax
- (570) 251-4372
- NPI assigned
- Nov 17, 2010
- Last updated
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP039806T | PA | Primary |
Addresses
Primary practice location
650 Old Willow Ave
Honesdale, PA 18431-4218
Mailing address
423 Garfield Ave
Jermyn, PA 18433-1624
Phone (570) 876-2610
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP039806T | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1720380116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 GARFIELD AVE",
"city": "JERMYN",
"state": "PA",
"postal_code": "184331624",
"telephone_number": "570-876-2610",
"fax_number": "570-251-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 OLD WILLOW AVE",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184314218",
"telephone_number": "570-253-3756",
"fax_number": "570-251-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039806T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.