Maxwell Conrad, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03439810 Issued in OH

Practice address

1840 Columbus Pike
Delaware, OH 43015-2728

Phone

(740) 363-0035

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Delaware, OH
  • NPI 1295769990
  NPD
• Kroger Co

  dba Kroger Drugstore #622

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1164030508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 COLUMBUS PIKE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152728",
            "telephone_number": "740-363-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 COLUMBUS PIKE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152728",
            "telephone_number": "740-363-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MAXWELL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03439810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Chiropractic Care Center
• Allison Comstock
• Concord Township Trustees (Concord Township)
• Confident Kids Therapy, LLC
• Amy Louise Connor, CNP
• Contemporary Business Group
• Margaret Cook, RPH
• Dustin Cooley
• Benjamin Cooper, LPN
• Devan Suzanne Costello

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Delaware, OH
• Providers in Delaware, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.