Active NPI
Bret J. Maydew, PHARM.D.
- Pharmacist
- Platte, SD
National Provider Identifier
1295980902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5231
- Practice address
- 408 Main
Platte, SD 57369 - Phone
- (605) 337-3662
- Fax
- (605) 337-2673
- NPI assigned
- Nov 21, 2008
- Last updated
- Feb 17, 2017
- Sex
- Male
- 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 | 5231 | SD | Primary |
Addresses
Primary practice location
408 Main
Platte, SD 57369
Mailing address
PO Box 110
Platte, SD 57369-0110
Phone (605) 337-3662
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5231 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoffman Drug Inc | Current | Accepting new patients | |
| Hoffman Drug Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1295980902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110",
"city": "PLATTE",
"state": "SD",
"postal_code": "573690110",
"telephone_number": "605-337-3662",
"fax_number": "605-337-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 MAIN",
"city": "PLATTE",
"state": "SD",
"postal_code": "57369",
"telephone_number": "605-337-3662",
"fax_number": "605-337-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYDEW",
"first_name": "BRET",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Platte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.