Active NPI
Smithway Pharmacy, LLC
- Community/Retail Pharmacy
- Humansville, MO
National Provider Identifier
1114681012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Missy Smith, PHARM D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Humansville, MO
- NPI 1467116368
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.