Active NPI
Robert Michael McMahon, RPH
- Pharmacist
- St Augustine, FL
National Provider Identifier
1801166764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS30180
- Practice address
- 701 Market St Ste 108B
St Augustine, FL 32095-8803 - Phone
- (877) 241-9002
- Fax
- (954) 975-3786
- NPI assigned
- Jan 10, 2012
- Last updated
- Nov 30, 2023
- 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 | PS30180 | FL | Primary |
Addresses
Primary practice location
701 Market St Ste 108B
St Augustine, FL 32095-8803
Mailing address
701 Market St Ste 108B
St Augustine, FL 32095-8803
Phone (954) 415-1434
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS30180 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adw Diabetes LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
701 Market St
Ste 108B
St Augustine, FL 32095
Phone (877) 241-9002
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1801166764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MARKET ST STE 108B",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958803",
"telephone_number": "954-415-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MARKET ST STE 108B",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958803",
"telephone_number": "877-241-9002",
"fax_number": "954-975-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS30180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.