Beth Marie Maes, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302035440 Issued in MI

Practice address

2601 Electric Ave
Port Huron, MI 48060-6587

Phone

(810) 985-1480

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Beth Marie Prochazka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1053564286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 TEEPLE AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606587",
            "telephone_number": "810-985-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAES",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "PROCHAZKA",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rose Macdonald, LLPC
• Lisa Mae Mackaluso, APRN, FNP-C
• Jenna Mackey, PA-C
• Kimia Maddahi, MD
• Madison Community Hospital Inc.
• Kaitlyn Marie Mahaffy
• Beverly Maiers, PT
• Laura Kathleen Maiorana, PA-C
• Katie Maison
• Christopher Vincent Majeski, LLPC

• Pharmacist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.