Clayton Maxfield, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016026622 Issued in MO

Practice address

1A Document Dr
Saint Louis, MO 63114-6110

Phone

(314) 961-4405

Fax

(314) 961-4010

NPI assigned

Dec 29, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Lemonaid Community Pharmacy, Inc

  • Pharmacy
  • Saint Louis, MO
  • NPI 1023626389
  NPD
• Long Term Care RX, Inc.

  • Long Term Care Pharmacy
  • Saint Louis, MO
  • NPI 1023173986
  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1356938930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194409",
            "telephone_number": "314-475-5520",
            "fax_number": "314-475-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A DOCUMENT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631146110",
            "telephone_number": "314-961-4405",
            "fax_number": "314-961-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016026622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "2016026622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne E Maxam, PT
• Maxco Home Health Care LLC
• Kendra Maxey, FNP
• Lucas Aaron Maxey, CRNA
• Monique Adrianne Maxey, PSYD
• Daniel M Maxfield, MD
• Jennifer Maxfield
• Maxim Healthcare Services
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.