Renee M Maxwell, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303001990 Issued in MI

Practice address

410 E Jolly Rd
Lansing, MI 48910-6649

Phone

(517) 882-2732

Fax

(517) 882-3803

NPI assigned

Jul 10, 2023

Sex

Female

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

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1306524459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106649",
            "telephone_number": "517-882-2732",
            "fax_number": "517-882-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106649",
            "telephone_number": "517-882-2732",
            "fax_number": "517-882-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "RENEE",
        "middle_name": "M",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303001990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Grace Mattson
• Edward Louis-James Matusik, NP
• Joel E Maurer, M.D.
• Scott Thomas Maurer, MD
• Maxim Healthcare Services, Inc.
• Terrion Maxwell
• Andrew May, P.T.
• Makenna May
• Marcel D Mayberry
• Alexis Mayers, LMT

• Pharmacy Technician in Lansing, MI
• Providers in Lansing, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.