Timothy Glen Maddox, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS20060 Issued in FL

Practice address

798 Beal Pkwy NW
Ft Walton BCH, FL 32547-3042

Phone

(850) 864-3727

Fax

(850) 864-2845

NPI assigned

Aug 30, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1033425871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 BEAL PKWY NW",
            "city": "FT WALTON BCH",
            "state": "FL",
            "postal_code": "325473042",
            "telephone_number": "850-864-3727",
            "fax_number": "850-864-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 BEAL PKWY NW",
            "city": "FT WALTON BCH",
            "state": "FL",
            "postal_code": "325473042",
            "telephone_number": "850-864-3727",
            "fax_number": "850-864-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "TIMOTHY",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS20060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Adair Corrigan, OT
• Madalyn L Duke
• Bridget Michelle Gay, BS
• Kimberly Lynn Johnson, L.M.T.
• Joseph Louis Lorden, IDMT
• Michael Edward Neuland, M. D.
• Leslie Milton O'Steen, M.D.
• Pharmclinic
• Dawn Michelli Riccitelli, MS,RD,LDN
• Kim Schade, PHARMD

• Pharmacist in Ft Walton BCH, FL
• Providers in Ft Walton BCH, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.