Active NPI
Christian Michael Smith, PHARMD
- Pharmacist
- Burgettstown, PA
National Provider Identifier
1083436026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP456024
- Practice address
- 264 Smith Township State Rd Ste 5
Burgettstown, PA 15021-2124 - Phone
- (724) 414-1425
- NPI assigned
- Oct 30, 2024
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202220135 | VA | |
| Pharmacist | 183500000X | 1-116111 | KS | |
| Pharmacist | 183500000X | 28326 | MD | |
| Pharmacist | 183500000X | 03441743 | OH | |
| Pharmacist | 183500000X | PS64022 | FL | |
| Pharmacist | 183500000X | PH200004264 | DC | |
| Pharmacist | 183500000X | RP456024 | PA | Primary |
Addresses
Primary practice location
264 Smith Township State Rd Ste 5
Burgettstown, PA 15021-2124
Mailing address
264 Smith Township State Rd Ste 5
Burgettstown, PA 15021-2124
Phone (724) 414-1425
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 |
|---|---|---|---|
| PH200004264 | DC | MD | Pharmacist |
| PS64022 | FL | MD | Pharmacist |
| 1-116111 | KS | MD | Pharmacist |
| 28326 | MD | MD | Pharmacist |
| 03441743 | OH | MD | Pharmacist |
| RP456024 | PA | MD | Pharmacist |
| 0202220135 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1083436026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 SMITH TOWNSHIP STATE RD STE 5",
"city": "BURGETTSTOWN",
"state": "PA",
"postal_code": "150212124",
"telephone_number": "724-414-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 SMITH TOWNSHIP STATE RD STE 5",
"city": "BURGETTSTOWN",
"state": "PA",
"postal_code": "150212124",
"telephone_number": "724-414-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTIAN",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220135",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-116111",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28326",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03441743",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS64022",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH200004264",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burgettstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.