DR. JERID MADDOX PHARM.D.
NPI 1013060854
Pharmacist in Kennett, MO

Active since January 18, 2007
501 TEACO RD, KENNETT, MO 63857(573) 888-6673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerid Maddox Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERID MADDOX PHARM.D. (NPI 1013060854) is an individual pharmacist in Kennett, Missouri, licensed in Missouri (2004005637) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013060854
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JERID MADDOXCredential: PHARM.D.
Location Address501 TEACO RDKennett, MO 63857-3721
Mailing Address501 Teaco RdKennett, MO 63857-3721 · (573) 888-6673
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1013060854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2004005637
Definition
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.
501 TEACO RD, Kennett, MO 63857

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
501 TEACO RD
KENNETT, MO 63857
Obstetrics & Gynecology
501 TEACO RD
KENNETT, MO 63857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerid Maddox's NPI number?

The NPI number for Jerid Maddox is 1013060854. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Jerid Maddox located?

Jerid Maddox practices at 501 Teaco Rd, Kennett, MO 63857. The listed phone number is (573) 888-6673.

What is Jerid Maddox's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jerid Maddox was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.