Terry L Smith, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

P6134 Issued in ID

Practice address

1653 S Vista Ave
Boise, ID 83705-3172

Phone

(208) 331-3007

Fax

(208) 331-3029

NPI assigned

Jun 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1114213956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 S VISTA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053172",
            "telephone_number": "208-331-3007",
            "fax_number": "208-331-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 S VISTA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053172",
            "telephone_number": "208-331-3007",
            "fax_number": "208-331-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Smith, MSW, LCSW
• Stephen C Smith, MD
• Tammy Lynn Smith, DO
• Tara Lynn Hendrickson Smith, LCSW
• Taylor Michael Smith, PHARMD
• Thomas Smith, PHARMACIST
• Tyler J Smith, DMD
• Tyler Jonathon Smith, LAT
• Valerie Louise Smith, A.T.C., L.M.T.
• SNF Boise Operating Company LLC

• Pharmacist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.