Maxwell Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2012038295 Issued in MO

Legal business name

MAXWELL PHARMACY, INC.

Practice address

200 S 9TH St
Hannibal, MO 63401-4203

Phone

(573) 822-5800

Fax

(573) 439-4839

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Matt J Maxwell

Title

Owner/Pharmacy Manager

Phone

(573) 822-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1063766335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 9TH ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634014203",
            "telephone_number": "573-822-5800",
            "fax_number": "573-439-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 9TH ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634014203",
            "telephone_number": "573-822-5800",
            "fax_number": "573-439-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "573-822-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012038295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janell Dianne Martin, CRNA
• Julie A Martinson
• Sherry L Masterson, FNP
• Melissa Matrisch, MD
• Kelley L Maughon, CRNA
• Shay M Mayer, PLPC
• Stephanie McAfee
• Mandy J. McAllister, FNP-C
• Olivia McBride
• Joshua Michael McCaskey, PLPC

• Community/Retail Pharmacy in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.