Shawn Bradley McGee
Individual provider Active NPI Pharmacist · Mamou, LA
NPI 1811278724 · NPPES record last updated Sep 6, 2011
Key facts
- NPI
- 1811278724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11167 (LA)
- Practice address
- 1415 7TH St
Suite C
Mamou, LA 70554-2269 - Phone
- (337) 468-3666
- Fax
- (337) 468-3289
- NPI assigned
- Sep 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11167 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savoy Family Pharmacy LLC | Current | Accepting new patients | |
| Savoy Family Pharmacy LLC | Current | Accepting new patients |
Locations
1415 7th St
Ste C
Mamou, LA 70554
Phone (337) 468-3666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11167 | LA | Yes |
Addresses
Primary practice location
1415 7TH St
Suite C
Mamou, LA 70554-2269
Mailing address
1415 7TH St
Suite C
Mamou, LA 70554-2269
Phone (337) 468-3666
Other providers in Mamou, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.