Mayfair Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P00480 Issued in KY

Legal business name

MAYFAIR PHARMACY INC

Practice address

2315 Mayfair Square BLDG
Owensboro, KY 42301

Phone

(270) 683-7379

Fax

(270) 926-6382

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Maurice E Reisz

Title

Owner Registered Pharmacist

Phone

(270) 683-7379

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629101852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR SQUARE BLDG",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-683-7379",
            "fax_number": "270-926-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR SQUARE BLDG",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-683-7379",
            "fax_number": "270-926-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REISZ",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "270-683-7379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P00480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9008030000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Patrick Maurer
• Maxey Speech Pathology, LLC
• Elise Brianne Maxey, LPCC
• Sarahanne Marie Maxey, MS CCC-SLP
• Mayfair Laboratory LLC
• Gary D Mayfield, PA-C
• Michelle L Mayfield, LMFT
• Randall Dean Mayfield, PHD
• Simone Mayfield, APRN
• MB1, LLC

• Durable Medical Equipment & Medical Supplies in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.