James Dale Maze, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

006906 Issued in KY

Practice address

2050 Highway 11 North
Booneville, KY 41314

Phone

(606) 593-0382

Fax

(606) 593-0384

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. James Dale Maze Professional name

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.

• Public Drug Company Inc

  dba Booneville Discount Drugs

  • Community/Retail Pharmacy
  • Booneville, KY
  • NPI 1912086406
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598844086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HIGHWAY 11 NORTH",
            "address_2": "PO BOX 1108",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "41314",
            "telephone_number": "606-593-0382",
            "fax_number": "606-593-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HIGHWAY 11 NORTH",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "41314",
            "telephone_number": "606-593-0382",
            "fax_number": "606-593-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "JAMES",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "006906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MAZE",
            "middle_name": "DALE",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kentucky River District Health Department (Owsley County Head & Early Head Start Center)
• Kentucky River District Health Department (Owsley County Health Center)
• Charles King
• Makala Nicole Marshall
• Claude Martin Jr., RTR
• Cheryl McCauley
• Emilia T McGloin, LMHC
• Candace McQueen, PHARMD
• Mountain Comprehensive Health Corporation
• Mountain Comprehensive Health Corporation (Owsley County High School Based Clinic)

• Pharmacist in Booneville, KY
• Providers in Booneville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.