Individual provider Active NPI

Todd C Maynard, RP044762L

  • Pharmacist
  • Camp Hill, PA
National Provider Identifier
1427527282
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP044762L Issued in PA
Practice address
1195 Lowther Rd
Camp Hill, PA 17011-7531
Phone
(717) 737-9230
Fax
(717) 737-9643
NPI assigned
Nov 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP044762L PA Primary

Addresses

Primary practice location

1195 Lowther Rd
Camp Hill, PA 17011-7531

Mailing address

1201 Mallard Rd
Camp Hill, PA 17011-1222
Phone (717) 443-1249

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

State licenses

LicenseStateTypeSpecialty
RP044762LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1427527282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MALLARD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111222",
            "telephone_number": "717-443-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 LOWTHER RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117531",
            "telephone_number": "717-737-9230",
            "fax_number": "717-737-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TODD",
        "middle_name": "C",
        "credential": "RP044762L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044762L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.