Active NPI
Max R Nedved, RPH
- Pharmacist
- Webster City, IA
National Provider Identifier
1013137595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15532
- Practice address
- 800 Ohio St
Webster City, IA 50595-2824 - Phone
- (515) 832-7745
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15532 | IA | Primary |
Addresses
Primary practice location
800 Ohio St
Webster City, IA 50595-2824
Mailing address
2042 Chase Ave
Webster City, IA 50595-7484
Phone (515) 543-5703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098673 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15532 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1013137595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 CHASE AVE",
"city": "WEBSTER CITY",
"state": "IA",
"postal_code": "505957484",
"telephone_number": "515-543-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OHIO ST",
"city": "WEBSTER CITY",
"state": "IA",
"postal_code": "505952824",
"telephone_number": "515-832-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDVED",
"first_name": "MAX",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098673",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster City, IA
- Mofle Family Care Clinic, P.C.
- Lisa Michelle Mofle, M.D.
- Moriarty Dental Group, PLC
- Eleanor Lynch Moriarty, DDS
- Steven G Navarro, CRNA
- Lori Jean Nelsen, PTA
- North Central Iowa Mental Health Center Inc
- North Central Iowa Mental Health Center, Inc
- North Central Iowa Mental Health Center, Inc
- Northland Hearing Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.