Individual provider Active NPI

Samantha Brooke Smith-Fischer, CPT

  • Pharmacy Technician
  • Silverton, OR
National Provider Identifier
1104517150
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CPT-0014168 Issued in OR
Practice address
626 McClaine St
Silverton, OR 97381-1925
Phone
(503) 873-2460
Fax
(503) 873-4747
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CPT-0014168 OR Primary

Addresses

Primary practice location

626 McClaine St
Silverton, OR 97381-1925

Mailing address

626 McClaine St
Silverton, OR 97381-1925
Phone (503) 873-2460

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

LicenseStateTypeSpecialty
CPT-0014168ORMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince May 21, 2023 Accepting new patients
Thrifty Payless Inc PastSince May 21, 2023 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1104517150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MCCLAINE ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811925",
            "telephone_number": "503-873-2460",
            "fax_number": "503-873-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MCCLAINE ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811925",
            "telephone_number": "503-873-2460",
            "fax_number": "503-873-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-FISCHER",
        "first_name": "SAMANTHA",
        "middle_name": "BROOKE",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OR",
            "license": "CPT-0014168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.