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Shawn W. McKallagat, Pharmacist

Pharmacist in Andover, MA. Individual provider (NPI-1).

NPI number1508920745
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1508920745
Entity type
Individual (NPI-1)
Name
Mr. Shawn W. McKallagat
Credential
Pharmacist
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 21, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist17278MAYes

Practice location

349 N Main St
Andover, MA 01810-2687

Phone 978-475-7779 · Fax 978-475-1662

Mailing address

39 Fernwood Ave
Haverhill, MA 01835-8153

Phone 978-521-1492

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Andover, MA

All 19 Pharmacist providers in Andover · All 1,027 providers in Andover

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