What is Maxie Bolden's NPI number?

Maxie Bolden's National Provider Identifier (NPI) is 1396952412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Maxie Bolden's specialty?

Maxie Bolden is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Maxie Bolden located?

Maxie Bolden's practice location on file with NPPES is 714 N Michigan St, South Bend, IN 46601-1035.

What is Maxie Bolden's phone number?

The practice phone number listed in the NPPES registry for Maxie Bolden is (574) 647-7176.

Is Maxie Bolden's NPI active?

Yes — Maxie Bolden's NPI (1396952412) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Maxie Bolden, RPH

NPI 1396952412 · Pharmacist · South Bend, IN

Maxie Bolden, RPH is a Pharmacist provider in South Bend, IN (NPI 1396952412).

Provider details

NPI number: 1396952412
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: Yes
License: 26014697A (IN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 26014697A (IN)
Pharmacy Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

714 N Michigan St

South Bend, IN 46601-1035

Phone: (574) 647-7176

Fax: (574) 647-6767

Street-level locationGet directions

Mailing address