Individual provider Active NPI

Michael Maize, PHARM.D.

  • Pharmacist
  • Jamestown, NC
National Provider Identifier
1679017149
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26538 Issued in NC
Practice address
407 W Main St
Jamestown, NC 27282-9558
Phone
(336) 454-3101
Fax
(336) 454-8331
NPI assigned
Dec 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26538 NC Primary

Addresses

Primary practice location

407 W Main St
Jamestown, NC 27282-9558

Mailing address

407 W Main St
Jamestown, NC 27282-9558
Phone (336) 454-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26538NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482019200000",
    "number": "1679017149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W MAIN ST",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829558",
            "telephone_number": "336-454-3101",
            "fax_number": "336-454-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W MAIN ST",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829558",
            "telephone_number": "336-454-3101",
            "fax_number": "336-454-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZE",
        "first_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.