Edward A McMahon, 183500000X

Primary specialty

PharmacistTaxonomy code 183500000X

License

44111 Issued in CA

Practice address

79795 Highway 111
La Quinta, CA 92253-4756

Phone

(760) 342-0656

Fax

(760) 775-0367

NPI assigned

Sep 16, 2015

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

Other names 1

• Mr. Edward A McMahon Professional name

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1992174247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79795 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534756",
            "telephone_number": "760-342-0656",
            "fax_number": "760-775-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79795 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534756",
            "telephone_number": "760-342-0656",
            "fax_number": "760-775-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "183500000X",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "MCMAHON",
            "middle_name": "A",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anette McGowan, NP-C, RN, MSN
• Derek Richard McGowan, CADC-I
• Esther Caroline McGowan, M.D.
• Carly McLarty, ND
• Joan McLoughlin, RN
• Medeveop,LLC
• Elsa Medina Marmolejo
• Allison Medina
• Amanda Medina, LCSW
• Elyjah A Medina

• Pharmacist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.