MARK ALAN MAXWELL (NPI# 1548861255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548861255 |
| Entity Type | Individual |
| Full Name | MARK ALAN MAXWELL |
| Practice Address |
8700 Andermatt Dr Lincoln NE 68526-9653 |
| Mailing Address |
9415 Del Rio Dr Lincoln NE 68516-5997 |
| Practice Telephone | 4024846342 |
| Practice Fax Number | 4024846349 |
| Mailing Telephone | 4026465988 |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14456 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723692 | Mark E Maxwell | Family Medicine | 4532 E Camp Lowell, Arizona Community Physicians PC, Tucson, AZ 85712 | 2006-05-04 |
| 1205384401 | Mark Maxwell | Marriage & Family Therapist | 10065 Old Grove Rd Ste 102, San Diego, CA 92131-1664 | 2016-09-15 |
| 1770921884 | Mark S Maxwell | Audiologist | 18700 N 64th Dr, Ste 201, Glendale, AZ 85308-7109 | 2013-06-11 |
| 1790089241 | Mark Gordon Maxwell | Pharmacist | 107 Avenue of The Cities, East Moline, IL 61244-4018 | 2010-12-27 |
| 1518027853 | Mark Andrew Maxwell | Physical Therapy Assistant | 1500 Oglethorpe Ave, Bldg 500, Athens, GA 30606-2179 | 2006-12-09 |
| 1760562599 | Mark F Maxwell | Dentist | 1441 Avocado Ave, Suite 703, Newport Beach, CA 92660-7721 | 2006-10-16 |
| 1437151842 | Mark S Maxwell | Neurological Surgery | 1933 Pine St, Ste A, Abilene, TX 79601-2431 | 2005-08-15 |
| Street Address |
8700 ANDERMATT DR |
| City | LINCOLN |
| State | NE |
| Zip Code | 68526-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144247248 | Walmart Inc. | Pharmacy | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2006-07-16 |
| 1093208795 | Kimberly L Yung | Pharmacist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2018-06-07 |
| 1407346786 | Sharee Lea Young | Pharmacist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2018-05-13 |
| 1508370180 | Heather Y Kimble | Pharmacist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2017-11-19 |
| 1033527718 | Trung Viet Nguyen | Pharmacist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2014-07-26 |
| 1790806057 | Peter Jay Pieper | Optometrist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2007-04-03 |
| 1013090364 | Wal-mart Stores, Inc. | Technician/Technologist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1528405719 | Charles Weston Whitten | Anesthesiology | 4546 S 86th St Ste B, Lincoln, NE 68526 | 2013-05-28 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1306909585 | Melanie J Fulton | Dentist | 4525 So 86th, Ste A, Lincoln, NE 68526 | 2006-12-18 |
| 1952359812 | Kathleen Ann Packard | Pharmacist | 7440 S 91st Street, Lincoln, NE 68526 | 2006-05-04 |
| 1861932444 | Amber Walter | Advanced Practice Midwife | 9110 Andermatt Drive, Ste 2, Lincoln, NE 68526 | 2017-03-02 |
| 1801205794 | Danielle Melissa Kollasch | Physician Assistant | 8550 Cuthills Circle, Lincoln, NE 68526 | 2014-08-05 |
| 1891132700 | Michaela Irene Kadavy | Counselor | 4545 S 86th St, Lincoln, NE 68526 | 2013-05-31 |
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| Find all providers in zip 68526 | ||||
| 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 |
|---|---|---|---|---|
| 1457965923 | Joseph Edward Dimasso | Pharmacist | 106 Wilbur Rd, Lincoln, RI 02865-4320 | 2020-09-02 |
| 1811509367 | Brendan Bu | Pharmacist | 1393 Rawlings Ln, Lincoln, CA 95648-3220 | 2020-08-17 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1518504802 | Just Better Medicine | Pharmacist | 6545 Stonebrook Pkwy, Lincoln, NE 68521-6659 | 2019-12-05 |
| 1831735604 | Cynthia Marcotte | Pharmacist | 915 1850th St, Lincoln, IL 62656-5210 | 2019-11-26 |
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1144884347 | Simon Rasho | Pharmacist | 6600 Peonies Dr, Lincoln, NE 68521-4573 | 2019-04-24 |
| 1346712858 | Ryan Ray Zwick | Pharmacist | 1600 S 48th St # Ne68506, Lincoln, NE 68506-1283 | 2018-12-21 |
| 1619455276 | Brian Derrick Sneed | Pharmacist | 919 Pulaski St, Lincoln, IL 62656-3133 | 2018-08-04 |
| 1912499864 | Nicole Christine O'brien | Pharmacist | 32 Linda St, Lincoln, RI 02865-2216 | 2018-06-05 |
| Find all providers in LINCOLN | ||||
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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.