Maxon Paul Moncrief

Primary specialty

PharmacistTaxonomy code 183500000X

License

13658 Issued in AL

Practice address

1108 13TH St
Phenix City, AL 36867-4966

Phone

(334) 298-8390

Fax

(334) 298-9870

NPI assigned

Dec 16, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• J & L Medical, Inc

  • Community/Retail Pharmacy
  • Phenix City, AL
  • NPI 1124031604
  NPD (past)
• U-Save-It Pharmacy Inc

  • Community/Retail Pharmacy
  • Phenix City, AL
  • NPI 1578833885
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1417543265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 13TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368674966",
            "telephone_number": "334-298-8390",
            "fax_number": "334-298-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 13TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368674966",
            "telephone_number": "334-298-8390",
            "fax_number": "334-298-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "MAXON",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phenixcity@u-save-it.com",
            "affiliation": "N",
            "address_1": "1108 13th St",
            "city": "Phenix City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368674966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marouene Melki, PHARMD
• Mending Minds Therapy LLC
• Raynn L Miller, RBT
• Miya'S Remarkable Transport LLC
• Tori Simone Moffett
• Tammy Wynett Montgomery, MENTAL HEALTH
• Moon Lake Emergency Physicians LLC
• Sasha Ladon Moore, LMSW
• Wade Lucas Moore, PHARMD
• Alicia Lynn Morris, NP

• Pharmacist in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.