Bret J. Maydew, PHARM.D.
Individual provider Active NPI Pharmacist · Platte, SD
NPI 1295980902 · NPPES record last updated Feb 17, 2017
Key facts
- NPI
- 1295980902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5231 (SD)
- Practice address
- 408 Main
Platte, SD 57369 - Phone
- (605) 337-3662
- Fax
- (605) 337-2673
- NPI assigned
- Nov 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5231 | SD | Yes |
Addresses
Primary practice location
408 Main
Platte, SD 57369
Mailing address
PO Box 110
Platte, SD 57369-0110
Phone (605) 337-3662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5231 | Other | SD | STATE PHARMACY LICENSE |
Other providers in Platte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.