Individual provider Active NPI

Christopher J Maksym, PHARM.D., R.PH.

  • Pharmacist
  • Ann Arbor, MI
National Provider Identifier
1932408846
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302025418 Issued in MI
Practice address
2850 S Industrial Hwy Ste 50
Ann Arbor, MI 48104-6792
Phone
(734) 975-7406
Fax
(734) 975-3079
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302025418 MI Primary

Addresses

Primary practice location

2850 S Industrial Hwy Ste 50
Ann Arbor, MI 48104-6792

Mailing address

2850 S. Industrial Hwy., Suite 50
Ann Arbor, MI 48104-9821
Phone (734) 975-7406

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302025418MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1932408846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S. INDUSTRIAL HWY., SUITE 50",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481049821",
            "telephone_number": "734-975-7406",
            "fax_number": "734-975-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S INDUSTRIAL HWY STE 50",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046792",
            "telephone_number": "734-975-7406",
            "fax_number": "734-975-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSYM",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302025418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.