MR. MAXIE D BOLDEN RPH
NPI 1396952412
Pharmacist in South Bend, IN

NPI Status: Active since May 17, 2007

Contact Information

714 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-7176
Fax: (574) 647-6767

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  • Individual
  • Male
  • Pharmacist

About MAXIE BOLDEN

This page provides the complete NPI Profile along with additional information for Maxie Bolden, a provider established in South Bend, Indiana with a medical specialization in Pharmacist. The healthcare provider is registered in the NPI registry with number 1396952412 assigned on May 2007. The practitioner's primary taxonomy code is 183500000X with license number 26014697A (IN). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1396952412
Provider Name
MR. MAXIE D BOLDEN RPH
Gender
Male
Entity Type
Individual
Location Address
714 N MICHIGAN ST SOUTH BEND, IN 46601
Location Phone
(574) 647-7176
Location Fax
(574) 647-6767
Mailing Address
714 N MICHIGAN ST SOUTH BEND, IN 46601
Mailing Phone
(574) 647-7176
Mailing Fax
(574) 647-6767
Is Sole Proprietor?
Yes
Enumeration Date
05-17-2007
Last Update Date
07-08-2007
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A pharmacist like Maxie Bolden fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
26014697A
License State
IN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
26014697AOTHER (01)INPHARMACIST LICENSE

Reviews for MR. MAXIE D BOLDEN RPH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396952412
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186185442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 8 + 5 + 4 + 4 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1396952412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861468399DR. ERNEST BERNARD JANKOWSKI M.D.
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1700957362MEMORIAL HOME CARE, INC.
Organization
Pharmacy (Community/Retail Pharmacy)714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7176
1386851418 PAMELA K GROMSKI RPH
Individual
Pharmacist714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7176
1558578518 LUCINDA M TUCKER RPH
Individual
Pharmacist714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7176
1770743684 JAYMIE LEIGH BAKER MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1154617728 SHARIFF SALAH SHAKIR MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1780943837 DANE STEPHEN SCHLINSKY MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7913
1285048603 MONICA A. GRYGO MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7913
1083028401 ISAAC D HATTON MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7913
1205225059DR. JESSICA JEANETTE LYNTON
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)714 N MICHIGAN ST
SOUTH BEND, IN 46601
(812) 267-9848
1659369098DR. JOYCE VESTAL DUNFEE PHD
Individual
Psychologist (Health Service)714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1578547956DR. ROBERT JOHN RILEY M.D.
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1558392647DR. THOMAS ALLEN FELGER M.D.
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1194108670 SENAKA Y. RATNAYAKE MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1417431917 KELLY PEDDY PHARMD, MPA, BCACP
Individual
Pharmacist (Ambulatory Care)714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-8522
1922568823MEMORIAL HOSPITAL
Organization
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(423) 488-5309
1568450732DR. CHARLES FREDERICK HAGENOW M.D.
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1326038902DR. ANTON J CREPINSEK JR. MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1770711145 JANEL L. CHARLTON MD
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477
1861652463 TUCKER G. BALAM DO
Individual
Family Medicine714 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 647-7477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396952412, enumerated in the NPI registry as an "individual" on May 17, 2007

The provider is located at 714 N Michigan St South Bend, In 46601 and the phone number is (574) 647-7176

The provider's speciality is Pharmacist with taxonomy code 183500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.