Active NPI
Lawrence Matthew Smith, PHARMD
- Pharmacist
- Green Cove Springs, FL
National Provider Identifier
1073806402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44945
- Practice address
- 2851 Henley Rd
Green Cove Springs, FL 32043-7204 - Phone
- (904) 899-6902
- Fax
- (904) 291-3288
- NPI assigned
- May 18, 2011
- 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 | PS44945 | FL | Primary |
Addresses
Primary practice location
2851 Henley Rd
Green Cove Springs, FL 32043-7204
Mailing address
2851 Henley Rd
Green Cove Springs, FL 32043-7204
Phone (904) 744-8425
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 |
|---|---|---|---|
| PS44945 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1073806402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 HENLEY RD",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320437204",
"telephone_number": "904-744-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 HENLEY RD",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320437204",
"telephone_number": "904-899-6902",
"fax_number": "904-291-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LAWRENCE",
"middle_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Cove Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.