Provider Demographics
NPI:1932359270
Name:MCMAHAN, JESSICA MARCELLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MARCELLA
Last Name:MCMAHAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JSSICA
Other - Middle Name:MARCELLA
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11920 ASTORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6097
Mailing Address - Country:US
Mailing Address - Phone:281-929-4227
Mailing Address - Fax:
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089
Practice Address - Country:US
Practice Address - Phone:281-929-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist