Provider Demographics
NPI:1679895486
Name:MCGINNESS, JOHN HOWARD (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:HOWARD
Last Name:MCGINNESS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3810
Mailing Address - Country:US
Mailing Address - Phone:716-515-3305
Mailing Address - Fax:716-515-3309
Practice Address - Street 1:6150 S PARK AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3810
Practice Address - Country:US
Practice Address - Phone:716-515-3305
Practice Address - Fax:716-515-3309
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist