DR. JONATHAN ALAN MCMAHAN (NPI# 1821191727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821191727 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ALAN MCMAHAN |
| Credential | PHARMD |
| Practice Address |
915 N. Grand St. Louis MO 63106 |
| Mailing Address |
1227 Mallards Way O'fallon MO 63368 |
| Practice Telephone | 3146524100 |
| Mailing Telephone | 6365783672 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26022022A | IN | Pharmacy Service Providers |
| Street Address |
915 N. GRAND |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265456313 | Charles Frederick Genthe | Dentist | 915 N. Grand, St. Louis, MO 63103 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
| 1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
| 1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
| 1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
| 1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
| 1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
| Find all providers in zip 63106 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871583799 | Nimita Thekkepat | Pharmacist | 9568 Chancelorsville Drive, St. Louis, MO 63126-3311 | 2005-10-22 |
| 1265710560 | St. Louis College of Pharmacy | Pharmacist | 4588 Parkview Place, St. Louis, MO 63110 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226298 | Christina L Stafford | Pharmacist | 1306 W Business Loop 70, Columbia, MO 65202-1325 | 2020-02-04 |
| 1659802452 | Joshua Shipley | Pharmacist | 809 Peruque View Ct, Wentzville, MO 63385-4340 | 2017-03-23 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1619375896 | Diane Klueppel | Pharmacist | 4325 Ventura Place Dr, Saint Louis, MO 63128-3159 | 2014-12-20 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1609150564 | Steve C Platou | Pharmacist | 2159 S. Campbell Ave, Springfield, MO 65807 | 2011-10-10 |
| 1295018422 | Gregory James Serocki | Pharmacist | 3189 S Woodstock Ave, Springfield, MO 65809-4146 | 2011-09-23 |
| 1760771943 | Scott Andrew Coon | Pharmacist | 4588 Parkview Place, Arb 440, Saint Louis, MO 63110-1088 | 2011-03-28 |
| 1508194556 | Kailye Kelly Hsia | Pharmacist | 1555 Mckelvey Rd, Maryland Heights, MO 63043-2852 | 2009-12-03 |
| 1013244284 | Stephanie R Pieszchalski | Pharmacist | 14528 S Outer 40 Rd, Suite 300, Chesterfield, MO 63017-5785 | 2009-11-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.