Active NPI
Danny Ray Smitherman
- Pharmacist
- Russellville, AL
National Provider Identifier
1104420348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12720
- Practice address
- 14695 Highway 43
Russellville, AL 35653-2552 - Phone
- (256) 332-2869
- NPI assigned
- Nov 29, 2020
- Last updated
- Nov 29, 2020
- 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 | 12720 | AL | Primary |
Addresses
Primary practice location
14695 Highway 43
Russellville, AL 35653-2552
Mailing address
14695 Highway 43
Russellville, AL 35653-2552
Phone (256) 332-2869
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12720 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Locations
14695 Highway 43
Russellville, AL 35653
Phone (256) 332-2869
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1104420348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14695 HIGHWAY 43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532552",
"telephone_number": "256-332-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14695 HIGHWAY 43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532552",
"telephone_number": "256-332-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHERMAN",
"first_name": "DANNY",
"middle_name": "RAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
- Shoals Family Pharmacy Group Inc (Hometown Pharmacy)
- Shoals Urological Associates PC
- Suzanne Simms
- SMG Medical Investments Inc (Healthcare for Life)
- Keyna Nicole Smith, COTA
- Southern Rural Health Care Consortium
- Southern Rural Health Care Consortium
- Southern Rural Health Care Consortium
- Southern Rural Health Care Consortium, Inc.
- Southerncare Inc (SouthernCare Russellville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.