Active NPI
Dewayne Edgar Smith, RPH
- Pharmacist
- Thomasville, AL
National Provider Identifier
1063562833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12188
- Practice address
- 34301 Highway 43
Thomasville, AL 36784-3341 - Phone
- (334) 636-5448
- Fax
- (334) 636-5144
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12188 | AL | Primary |
Addresses
Primary practice location
34301 Highway 43
Thomasville, AL 36784-3341
Mailing address
1265 County Road 55
Thomasville, AL 36784-3996
Phone (334) 385-2905
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 |
|---|---|---|---|
| 12188 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063562833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 COUNTY ROAD 55",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843996",
"telephone_number": "334-385-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34301 HIGHWAY 43",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843341",
"telephone_number": "334-636-5448",
"fax_number": "334-636-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DEWAYNE",
"middle_name": "EDGAR",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, AL
- Randy P Walters, DMD, PC
- Rose Emergency Group, LLC
- Rural Health Medical Program, Inc (Rhmpi Thomasville Health Center)
- Jerry Lee Schreiner, D.C.
- Selma Family Practice Optometry, Inc. (Eyemax Vision Center)
- Southwest Alabama Emergency Physicians, LLC
- Donna Stebbins, AGACNP-BC
- Benjamin Michael Stephens, CRNA
- Avery Story, PHARMD
- Jeffrey Ralph Stoudenmire, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.