Active NPI
Jan Maxwell
- Pharmacist
- Wooster, OH
National Provider Identifier
1134764889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03321842
- Practice address
- 1761 Beall Ave
Wooster, OH 44691-2342 - Phone
- (330) 202-5570
- Fax
- (330) 202-5574
- NPI assigned
- Nov 16, 2019
- Sex
- Female
- 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 | 03321842 | OH | Primary |
Addresses
Primary practice location
1761 Beall Ave
Wooster, OH 44691-2342
Mailing address
1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 202-5570
Other names 1
- Jan Edington
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03321842 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1134764889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-202-5570",
"fax_number": "330-202-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-202-5570",
"fax_number": "330-202-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "JAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03321842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "EDINGTON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.