Active NPI
Joshua Caleb Smith, PHARM D.
- Pharmacist
- Coupeville, WA
National Provider Identifier
1013254564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60306571
- Practice address
- 101 N Main St
Coupeville, WA 98239-3413 - Phone
- (360) 678-7656
- Fax
- (360) 678-7630
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6713 | ID | |
| Pharmacist | 183500000X | PH60306571 | WA | Primary |
Addresses
Primary practice location
101 N Main St
Coupeville, WA 98239-3413
Mailing address
101 N Main St
Inpatient Pharmacy
Coupeville, WA 98239
Phone (360) 678-7656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6713 | ID | MD | Pharmacist |
| PH60306571 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1013254564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N MAIN ST",
"address_2": "INPATIENT PHARMACY",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "98239",
"telephone_number": "360-678-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N MAIN ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393413",
"telephone_number": "360-678-7656",
"fax_number": "360-678-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOSHUA",
"middle_name": "CALEB",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6713",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60306571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.