Maxsons Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY39229 Issued in CA

Legal business name

MAXSONS PHARMACY INC

Practice address

14070 Ventura Blvd
Sherman Oaks, CA 91423-3542

Phone

(818) 789-0301

Fax

(818) 789-2711

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Ellis Herz

Title

Owner and Pharmacist

Phone

(818) 789-0301

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MAXSONS DRUGS Doing business as

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1114034451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14070 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233542",
            "telephone_number": "818-789-0301",
            "fax_number": "818-789-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14070 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233542",
            "telephone_number": "818-789-0301",
            "fax_number": "818-789-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXSONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "HERZ",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "818-789-0301"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA392290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXSONS DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maximum Care Medical Center, Inc.
• Amanda Lynn May, FNP
• Mary Ann Mayer, LCSW
• Mia Mazzanti
• Adam Mazzeo, DC
• Christine MC Nally, LVN

• Community/Retail Pharmacy in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.