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: July 19, 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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013060854, enumerated as an "individual" on January 18, 2007.

The provider is located at 501 TEACO RD KENNETT, MO 63857 and the phone number is (573) 888-6673.

Pharmacist with taxonomy code 183500000X.