Shawn Robert Mahan

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH019549 Issued in GA

Practice address

2925 Browns Bridge Rd
Gainesville, GA 30504-5505

Phone

(770) 532-2266

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932223906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PROSPECT MILL DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432694",
            "telephone_number": "770-339-9194",
            "fax_number": "678-377-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 BROWNS BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045505",
            "telephone_number": "770-532-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "SHAWN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Matthew Maddox, DMD
• Amy Maffei, CHHP, RCPC
• Ian Magandy, DPT
• Rychelle Nicole Magriby, FNP-C
• Michelle Mahajan, FNP-BC
• Amber D Mahek, ACNP
• Hussain Majeed, MD
• Jaime Majors, FNP
• Brooklyne Marlowe Makaya, M.D.
• Curtis David Malcom, MD

• Pharmacist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.