Meshell Maxam, PHARMD, BCIDP

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

030575 Issued in GA

Practice address

2525 Cumberland Pkwy SE
Atlanta, GA 30339-3915

Phone

(404) 365-0966

NPI assigned

Aug 27, 2021

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

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1699442566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CUMBERLAND PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393915",
            "telephone_number": "404-365-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXAM",
        "first_name": "MESHELL",
        "credential": "PHARMD, BCIDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "GA",
            "license": "030575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanushri Mahesh Mavinahally, M.D.
• Juliet Kottak Mavromatis, M.D.
• Stephanie Mawyer, OTR/L
• Joanne Max, PH.D.
• Russell C Maxa, M.D.
• Benjamin Maxey, MD
• Joy Maxey, MEDICAL DOCTOR
• Kyle Adam Maxey, PA-C
• Maxim Healthcare Services, Inc.
• Maximum Chiropractic Inc

• Ambulatory Care Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ambulatory Care Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.