Organization Active NPI

Smithway Pharmacy, LLC

  • Community/Retail Pharmacy
  • Humansville, MO
National Provider Identifier
1114681012
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SMITHWAY PHARMACY, LLC
Practice address
100 W Tilden St
Humansville, MO 65674-8229
Phone
(417) 754-1501
Fax
(417) 754-1505
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Authorized official

Name
Missy Smith, PHARM DNPI 1467116368
Title
Owner/Pic
Phone
(417) 298-1801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

100 W Tilden St
Humansville, MO 65674-8229

Mailing address

100 W Tilden St
Humansville, MO 65674-8229
Phone (417) 754-1501

Other names 1

  • SmithWay Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1114681012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W TILDEN ST",
            "city": "HUMANSVILLE",
            "state": "MO",
            "postal_code": "656748229",
            "telephone_number": "417-754-1501",
            "fax_number": "417-754-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W TILDEN ST",
            "city": "HUMANSVILLE",
            "state": "MO",
            "postal_code": "656748229",
            "telephone_number": "417-754-1501",
            "fax_number": "417-754-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHWAY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "417-298-1801",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmithWay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humansville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.