Douglas Maschino
Individual provider Active NPI Pharmacist · Pleasanton, KS
NPI 1740368489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740368489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-11224 (KS)
- Practice address
- 20620 E 600 Rd
Pleasanton, KS 66075 - Phone
- (913) 352-8733
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-11224 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maschino Drug Company Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-11224 | KS | Yes |
Addresses
Primary practice location
20620 E 600 Rd
Pleasanton, KS 66075
Mailing address
PO Box 500
Pleasanton, KS 66075-0500
Other providers in Pleasanton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.