Kevin Millard McMahon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60668798 Issued in WA

Practice address

117 SW 160TH St
Burien, WA 98166-3024

Phone

(206) 242-2030

Fax

(206) 242-2018

NPI assigned

Jul 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington CVS Pharmacy LLC

  • Pharmacy
  • Mercer Island, WA
  • NPI 1194834408
  NPD (past)
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Burien, WA
  • NPI 1902207780
  NPD (past)

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1891248480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SW 160TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663024",
            "telephone_number": "206-242-2030",
            "fax_number": "206-242-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SW 160TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663024",
            "telephone_number": "206-242-2030",
            "fax_number": "206-242-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KEVIN",
        "middle_name": "MILLARD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60668798",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jean McDermott, CP 60476127
• Samantha Corrine McElroy
• Lois L McGehee
• Maureen Ann McGovern, HP
• Brandon Wayne McLaughlin, PHARM. D.
• Stephen Edward McMannis
• Jennifer Ellen McNeely
• Bryce Joseph McPhee, MPT
• Emily McQuarrie, SLP
• Sommer McWhirter

• Pharmacist in Burien, WA
• Providers in Burien, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.