Active NPI
Deborah Smith-Clark
- Pharmacist
- Sunbury, PA
National Provider Identifier
1114497302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP036149L
- Practice address
- 1100 N 4TH St
Sunbury, PA 17801-1238 - Phone
- (570) 286-0276
- Fax
- (570) 286-5109
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | RP036149L | PA | Primary |
Addresses
Primary practice location
1100 N 4TH St
Sunbury, PA 17801-1238
Mailing address
1100 N 4TH St
Sunbury, PA 17801-1238
Phone (570) 286-0276
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 |
|---|---|---|---|
| RP036149L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets 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, 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": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1114497302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N 4TH ST",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178011238",
"telephone_number": "570-286-0276",
"fax_number": "570-286-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N 4TH ST",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178011238",
"telephone_number": "570-286-0276",
"fax_number": "570-286-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-CLARK",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036149L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunbury, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.