Maxwells Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MAXWELLS PHARMACY INC

Practice address

242 Pearl St
Burlington, VT 05401-8532

Phone

(802) 862-1491

Fax

(802) 865-2208

NPI assigned

Sep 2, 2021

Organization subpart

Yes

Parent organization

MAXWELLS PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Kyle Maxwell

Title

President/ Treas.

Phone

(802) 862-1562

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Pharmacy LTC Other name

Tax ID family

Maxwells Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Maxwells Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maxwells Pharmacy Inc

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1043321896
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Maxwells Pharmacy Inc

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1043321896
  NPPES parent name

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1558039644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 PEARL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018532",
            "telephone_number": "802-862-1491",
            "fax_number": "802-865-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 PEARL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018532",
            "telephone_number": "802-862-1491",
            "fax_number": "802-865-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELLS PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXWELLS PHARMACY INC",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT/ TREAS.",
        "authorized_official_telephone_number": "802-862-1562"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ralph Matthews
• Maxwell Consulting LLC
• Jasmine Maxwell, MSW
• Kyle Maxwell, PHARMD, RPH
• Maxwells Pharmacy Inc
• Caitlin Ann May, NP
• Elizabeth Breen May, M.D.
• Jennifer May, R.D., C.D.
• Maya Kunigis Counseling, LLC
• Paul J Mayer, M.D.

• All providers in Burlington, VT
• Long Term Care Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.