Active NPI
Spencer Reid Smith, RPH
- Pharmacist
- Americus, GA
National Provider Identifier
1083678817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017305
- Practice address
- 611 E Lamar St Ste B
Americus, GA 31709-3744 - Phone
- (229) 928-9010
- Fax
- (229) 928-4477
- NPI assigned
- Apr 17, 2006
- 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 | 017305 | GA | Primary |
Addresses
Primary practice location
611 E Lamar St Ste B
Americus, GA 31709-3744
Mailing address
116 N Valhalla CT
Cordele, GA 31015-9308
Phone (229) 273-7513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327980256A | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor'S Pharmacy-Vital Care, Inc. | Past | Accepting new patients | |
| Doctor'S Pharmacy-Vital Care, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Americus, GA
- NPI 1073617189
-
- Community/Retail Pharmacy
- Americus, GA
- NPI 1598774705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1083678817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N VALHALLA CT",
"city": "CORDELE",
"state": "GA",
"postal_code": "310159308",
"telephone_number": "229-273-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E LAMAR ST STE B",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093744",
"telephone_number": "229-928-9010",
"fax_number": "229-928-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SPENCER",
"middle_name": "REID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327980256A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.