Active NPI
Jane Smith, RPH
- Ambulatory Care Pharmacist
- Providence, KY
National Provider Identifier
1053776005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 009941
- Practice address
- 215 E Main St
Providence, KY 42450-1261 - Phone
- (270) 667-7017
- Fax
- (270) 667-7735
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- No
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009941 | KY | MD | Ambulatory Care Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 009941 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
215 E Main St
Providence, KY 42450-1261
Mailing address
215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2015.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1053776005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MAIN ST",
"city": "PROVIDENCE",
"state": "KY",
"postal_code": "424501261",
"telephone_number": "270-667-7017",
"fax_number": "270-667-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MAIN ST",
"city": "PROVIDENCE",
"state": "KY",
"postal_code": "424501261",
"telephone_number": "270-667-7017",
"fax_number": "270-667-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JANE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "KY",
"license": "009941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.