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

Active since May 17, 2007
714 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7176(574) 647-6767 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Maxie D Bolden Rph NPPES

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

MR. MAXIE D BOLDEN RPH (NPI 1396952412) is an individual pharmacist in South Bend, Indiana, licensed in Indiana (26014697A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396952412
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. MAXIE D BOLDENCredential: RPH
Location Address714 N MICHIGAN STSouth Bend, IN 46601-1035
Mailing Address714 N Michigan StSouth Bend, IN 46601-1035 · (574) 647-7176 · Fax (574) 647-6767
Fax(574) 647-6767
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1396952412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26014697A
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.
714 N MICHIGAN ST, South Bend, IN 46601

Other Identifiers 1

Other26014697AIN · Pharmacist License

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601

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 Maxie Bolden's NPI number?

The NPI number for Maxie Bolden is 1396952412. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Maxie Bolden located?

Maxie Bolden practices at 714 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7176.

What is Maxie Bolden'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 Maxie Bolden 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.