Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERID MADDOX, PHARM.D.
Active Sole ProprietorDR. JERID MADDOX, PHARM.D. is a Pharmacist healthcare provider located in KENNETT, Missouri. NPI 1013060854 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · KENNETT, MO
Registration Details
- NPI Number
- 1013060854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.529255380247 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2004005637 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 TEACO RDKENNETT, MO, 638573721Browse MO providers · Browse ZIP 63857
- Phone
- 5738886673
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in KENNETT, MO
| Name | Credential | NPI |
|---|---|---|
| DR. CYNTHIA KAY BOYD | RPH, PHARMD | 1255972758 |
| RON PARKER | — | 1528668621 |
| DR. LINDSEY CAITLIN CRAIN | PHARMD | 1609476704 |
| TIMOTHY HALLEMEIER | — | 1538760715 |
| DARREN KEITH HARRIS | — | 1972198463 |
| LINDSEY GILLETTE | PHARMD | 1831784081 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.