Active NPI
Teresa F Smith, RPH
- Pharmacist
- Pembroke, GA
National Provider Identifier
1114022308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15905
- Practice address
- 27 N Main St
Pembroke, GA 31321 - Phone
- (912) 653-4596
- Fax
- (912) 653-4585
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- 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 | 15905 | GA | Primary |
Addresses
Primary practice location
27 N Main St
Pembroke, GA 31321
Mailing address
230 Eli Rd
Pembroke, GA 31321
Phone (912) 653-3356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00021832A | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15905 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedingfield Pharmacy, Inc | Current | Accepting new patients |
Organizations & group practices 1
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
- Pembroke, GA
- NPI 1003912304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1114022308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 ELI RD",
"city": "PEMBROKE",
"state": "GA",
"postal_code": "31321",
"telephone_number": "912-653-3356",
"fax_number": "912-653-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 N MAIN ST",
"city": "PEMBROKE",
"state": "GA",
"postal_code": "31321",
"telephone_number": "912-653-4596",
"fax_number": "912-653-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TERESA",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "15905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00021832A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.