Organization Active NPI

McMakin Inc

Doing business as McMakin Pharmacy

  • Community/Retail Pharmacy
  • Beaumont, TX
National Provider Identifier
1750468625
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26206 Issued in TX
Legal business name
MCMAKIN INC
Doing business as
McMakin Pharmacy
Practice address
4225 Gladys Ave
Beaumont, TX 77706-3644
Phone
(409) 898-0717
Fax
(409) 899-2977
NPI assigned
Oct 31, 2006
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Arthur McMakin, B.S. PHARMACYNPI 1558905729
Title
President Pic
Phone
(409) 898-0717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 26206 TX Primary
Home Infusion Therapy Pharmacy 3336H0001X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

4225 Gladys Ave
Beaumont, TX 77706-3644

Mailing address

4225 Gladys Ave
Beaumont, TX 77706-3644
Phone (409) 898-0717

Other identifiers 2

IdentifierTypeStateIssuer
148173MedicaidTX
2120718OtherPK

Other names 1

  • McMakin Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000607 TX Part B Supplier - Mass Immunization (Roster Biller Only) 8123218161 Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Locations

4225 Gladys Ave
Beaumont, TX 77706
Phone (409) 898-0717

4225 Gladys Ave
Ste B
Beaumont, TX 77706
Phone (409) 898-0717

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1750468625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GLADYS AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063644",
            "telephone_number": "409-898-0717",
            "fax_number": "409-899-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 GLADYS AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063644",
            "telephone_number": "409-898-0717",
            "fax_number": "409-899-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAKIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "MCMAKIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT PIC",
        "authorized_official_telephone_number": "409-898-0717",
        "authorized_official_credential": "B.S. PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26206",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148173",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMakin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.