Active NPI
Erica Lynn Mahn, PHARMD
- Pharmacist
- Springfield, MO
National Provider Identifier
1871854737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012014970
- Practice address
- 2650 W Kearney St Ste 116
Springfield, MO 65803-2055 - Phone
- (417) 865-1547
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 2012014970 | MO | Primary |
Addresses
Primary practice location
2650 W Kearney St Ste 116
Springfield, MO 65803-2055
Mailing address
2650 W Kearney St Ste 116
Springfield, MO 65803-2055
Phone (417) 865-1547
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012014970 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1871854737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 W KEARNEY ST STE 116",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658032055",
"telephone_number": "417-865-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 W KEARNEY ST STE 116",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658032055",
"telephone_number": "417-865-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHN",
"first_name": "ERICA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012014970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.