Active NPI
Maliah J Mayweather, PHARMD
- Pharmacist
- Georgetown, TX
National Provider Identifier
1740022649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73772
- Practice address
- 1220 W Univ Ave
Georgetown, TX 78628-5333 - Phone
- (512) 863-4671
- Fax
- (512) 863-4894
- NPI assigned
- Jun 11, 2024
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 73772 | TX | Primary |
Addresses
Primary practice location
1220 W Univ Ave
Georgetown, TX 78628-5333
Mailing address
1220 W University Ave
Georgetown, TX 78628-5333
Phone (512) 863-4671
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73772 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1220 W University Ave
Georgetown, TX 78628
Phone (512) 863-4671
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1740022649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 W UNIVERSITY AVE",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786285333",
"telephone_number": "512-863-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 W UNIV AVE",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786285333",
"telephone_number": "512-863-4671",
"fax_number": "512-863-4894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYWEATHER",
"first_name": "MALIAH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
- Joan Elizabeth Maus, MSSW, LCSW
- May Chen Professional Dental Association (Georgetown 3D Dental)
- Shallon Michelle May-Rogers, IBCLC, PARAMEDIC
- Sharon Diane Grantham May, LPC
- Janette Shermea Mayers, RMT
- Lori Ann Maze, LCSW
- Catherine Bodet McAvoy, CPNP-PC
- Kelly Michelle McCabe, LMFT/LPC
- Jason C. McCain, O.D.
- Geneva Sue McCann, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.