Organization Active NPI

Maxwell Pharmacy LLC

Doing business as Maxwell Pharmacy

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1851002364
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAXWELL PHARMACY LLC
Doing business as
Maxwell Pharmacy
Practice address
3416 Clio Rd
Flint, MI 48504-1837
Phone
(810) 471-3333
Fax
(810) 553-9138
NPI assigned
Dec 6, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ajaykumar GajeraNPI 1497030332
Title
Member
Phone
(732) 986-8675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3416 Clio Rd
Flint, MI 48504-1837

Mailing address

3416 Clio Rd
Flint, MI 48504-1837
Phone (810) 471-3333

Other identifiers 1

IdentifierTypeStateIssuer
5301013036OtherMIPHARMACY LICENSE

Other names 1

  • Maxwell Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3416 Clio Rd
Flint, MI 48504
Phone (810) 471-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1851002364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041837",
            "telephone_number": "810-471-3333",
            "fax_number": "810-553-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041837",
            "telephone_number": "810-471-3333",
            "fax_number": "810-553-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "GAJERA",
        "authorized_official_first_name": "AJAYKUMAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-986-8675"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301013036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxwell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.