Jennifer Amy Maybaum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH3949 Issued in RI

Practice address

1560 Warwick Ave
Warwick, RI 02889-1020

Phone

(401) 737-2913

Fax

(401) 737-3369

NPI assigned

Sep 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Walgreen Co

  • Pharmacy
  • Warwick, RI
  • NPI 1508873555
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1467735142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891020",
            "telephone_number": "401-737-2913",
            "fax_number": "401-737-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891020",
            "telephone_number": "401-737-2913",
            "fax_number": "401-737-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBAUM",
        "first_name": "JENNIFER",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH3949",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH23853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxi Drug South LP
• Maxi Drug South LP
• Maxillofacial Surgeons, LTD.
• Sophie May
• Todd Warren May, DO, MHS
• Erica Grace Mayer, PA-C
• Breanna Mayeski, MS, LMHC
• Jason Maynard, PHARMD
• Joseph Leo Maynard III, ATC
• Meagan McAuliffe

• Pharmacist in Warwick, RI
• Providers in Warwick, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.