Travis G Mainous, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

26021257A Issued in IN

Practice address

3701 National Rd E
Richmond, IN 47374-3614

Phone

(765) 935-2074

Fax

(765) 962-3049

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Richmond, IN
  • NPI 1124191747
  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1538705991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 BETHEL RD",
            "city": "FOUNTAIN CITY",
            "state": "IN",
            "postal_code": "473419791",
            "telephone_number": "513-255-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 NATIONAL RD E",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743614",
            "telephone_number": "765-935-2074",
            "fax_number": "765-962-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINOUS",
        "first_name": "TRAVIS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021257A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "travis.mainous@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3701 National Rd E",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473743614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamella R Madron, LCAC
• Chibuzor Festa Madu, MD
• Magdy Rofail MD PC
• Veronica Maghielse
• Mahendra Kalra MD
• Gloria Q. Makapugay, M.D.
• Kylie Malak, RBT
• Sean Malarkey
• Jonita Malichi, RBT
• Megan Malicoat, RBT

• Pharmacist in Richmond, IN
• Providers in Richmond, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.