Active NPI
Presley Maxwell
- Pharmacist
- Columbiana, OH
National Provider Identifier
1730632597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03135467
- Practice address
- 14973 South Ave
Columbiana, OH 44408 - Phone
- (330) 482-3854
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03135467 | OH | Primary |
Addresses
Primary practice location
14973 South Ave
Columbiana, OH 44408
Mailing address
12003 Frederickstown LN
Columbiana, OH 44408-9349
Phone (330) 540-5182
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03135467 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Columbiana, OH
- NPI 1811903123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1730632597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12003 FREDERICKSTOWN LN",
"city": "COLUMBIANA",
"state": "OH",
"postal_code": "444089349",
"telephone_number": "330-540-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14973 SOUTH AVE",
"city": "COLUMBIANA",
"state": "OH",
"postal_code": "44408",
"telephone_number": "330-482-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "PRESLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03135467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbiana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.