Robert James Maxson, RPH
Individual provider Active NPI Pharmacist · Wolf Point, MT
NPI 1982799342 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982799342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2533 (MT)
- Practice address
- 228 Main St
Wolf Point, MT 59201-1531 - Phone
- (406) 653-2852
- NPI assigned
- Oct 3, 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2533 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillette Pharmacy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2533 | MT | Yes |
Addresses
Primary practice location
228 Main St
Wolf Point, MT 59201-1531
Mailing address
228 Main St
Wolf Point, MT 59201-1531
Phone (406) 653-2852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000219284 | Medicaid | MT |
Other providers in Wolf Point, MT
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.