DR. BLAIR ELAINE MAXWELL (NPI# 1114356318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114356318 |
| Entity Type | Individual |
| Full Name | DR. BLAIR ELAINE MAXWELL |
| Other Name | BLAIR ELAINE FURRER |
| Credential | PHARMD |
| Practice Address |
1501 Hartford St Lafayette IN 47904-2134 |
| Mailing Address |
1501 Hartford St Lafayette IN 47904 |
| Practice Telephone | 7654236880 |
| Practice Fax Number | 7654236569 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26023354A | IN | Pharmacy Service Providers |
| Street Address |
1501 HARTFORD ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497121 | Tippecanoe Emergency Ambulance Service | Ambulance | 1501 Hartford St, Lafayette, IN 47904-2134 | 2005-12-13 |
| 1902316888 | Michelle Erdman | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-10-05 |
| 1851820971 | Allison Marie Stover | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-06-12 |
| 1265961742 | Annmarie Reuzenaar Schwarz | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-06-08 |
| 1912436544 | Glenda Gay Chambers | Speech-Language Pathologist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-06-07 |
| 1023546769 | Justin Jargstorf | Physical Therapy Assistant | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-25 |
| 1831625961 | Karrie Canary | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-10 |
| 1700312014 | Brook Spenner | Occupational Therapist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-05 |
| 1083140347 | Erin Mitchell | Occupational Therapy Assistant | 1501 Hartford St, Lafayette, IN 47904-2134 | 2017-05-05 |
| 1750757076 | Tammra Kay Mallory | Nurse Practitioner | 1501 Hartford St, Lafayette, IN 47904-2134 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1699078394 | Cordese Shaw Jolivette | Pharmacist | 3414 Moss St Ste C, Lafayette, LA 70507-6107 | 2010-12-19 |
| 1245849611 | Veronica Disher | Pharmacist | 2200 Greenbush St, Lafayette, IN 47904-2342 | 2020-07-30 |
| 1396362943 | Bryce R Burkhart | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-30 |
| 1306483169 | Jessica Heathcote | Pharmacist | 65 Beck Ln, Lafayette, IN 47909-2836 | 2019-11-28 |
| 1225509292 | Jarred Bowden | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-12-16 |
| 1598230351 | Christopher Farmer | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-10-09 |
| 1194129197 | Jennifer Slavens | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-10-20 |
| 1922238955 | Paul Shaw | Pharmacist | 280 Exempla Cir, Rock Creek Medical Offices - Kpco Dept of Pharmacy, Lafayette, CO 80026-3370 | 2009-07-24 |
| 1215192711 | Robert Matthew Trujillo | Pharmacist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2008-07-23 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.