Timothy Kaleb Smith, PHARMD
Individual provider Active NPI Pharmacist · Celina, TN
NPI 1114680717 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1114680717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 44086 (TN)
- Practice address
- 651 Brown St
Celina, TN 38551-4019 - Phone
- (270) 427-1193
- NPI assigned
- Oct 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20349 | AL | MD | Pharmacist |
| 021330 | KY | MD | Pharmacist |
| 44086 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town and Country Pharmacy, LLC | Current |
Accepting new patients |
Locations
651 Brown St
Celina, TN 38551
Phone (931) 243-3784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20349 | AL | |
| Pharmacist | 183500000X | 021330 | KY | |
| Pharmacist | 183500000X | 44086 | TN | Yes |
Addresses
Primary practice location
651 Brown St
Celina, TN 38551-4019
Mailing address
601 Apple Grove Rd
Summer Shade, KY 42166-7687
Phone (270) 427-1193
Other providers in Celina, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.