NICHOLAS MADDUX (NPI# 1497027825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497027825 |
| Entity Type | Individual |
| Full Name | NICHOLAS MADDUX |
| Practice Address |
1300 University Ave W Saint Paul MN 55104-4103 |
| Practice Telephone | 6516468002 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120636 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722674 | Nicholas Maddux | Dentist | 351 Edwin Dr, Suite 104, Virginia Beach, VA 23462-4559 | 2015-02-06 |
| Street Address |
1300 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962424648 | Grand St Paul Cvs LLC | Pharmacy | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2006-07-24 |
| 1649786138 | Ikechukwu Okechukwu | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2017-12-19 |
| 1356719918 | Jeena Lee | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2015-09-11 |
| 1861881625 | Stephanie Marie Weinberger | Psychiatry & Neurology | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2015-01-16 |
| 1447648506 | Target Clinic | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-12-24 |
| 1124436464 | David Andrew Spande | Optometrist | 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104-4103 | 2014-07-31 |
| 1245659903 | Tara Marie Olson | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-04-09 |
| 1760779649 | Trenton William Srstka | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2011-06-29 |
| 1336434794 | Tara Jean Tindall | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on NICHOLAS MADDUX.
| 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.