Kristen Annette Maxvill, PHARM.D., BCPS

Primary specialty

PharmacistTaxonomy code 183500000X

License

44283 Issued in TX

Practice address

4500 S Lancaster Rd
BLDG 7, R 119-a
Dallas, TX 75216-7167

Phone

(214) 358-9050

Fax

(214) 372-5020

NPI assigned

Aug 3, 2010

Sex

Female

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

• Kristen Annette Hesch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1699089540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356411",
            "telephone_number": "214-358-9050",
            "fax_number": "214-372-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "BLDG 7, R 119-A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-358-9050",
            "fax_number": "214-372-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXVILL",
        "first_name": "KRISTEN",
        "middle_name": "ANNETTE",
        "credential": "PHARM.D., BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HESCH",
            "middle_name": "ANNETTE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maximacare LLC
• Stephanie Lynn Maxson, MS, RD, LD
• Maxum Health Services Corp
• Maxum Health Services Corp
• Maxum Health Services Corp
• Autumn Maxwell
• Christine Elizabeth Maxwell
• Daniel Maxwell, M.D.
• David Roketha Maxwell, D.D.S.
• Jenny Maxwell, NP

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.