Amiee Lynn Smith, PHARMD
Individual provider Active NPI Pharmacist · Chariton, IA
NPI 1124145479 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124145479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20000 (IA)
- Practice address
- 2001 Court Ave
Chariton, IA 50049-1955 - Phone
- (641) 774-2911
- Fax
- (641) 774-2404
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 20000 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20000 | IA | Yes |
Addresses
Primary practice location
2001 Court Ave
Chariton, IA 50049-1955
Mailing address
416 S 1St St
Chariton, IA 50049-2208
Phone (641) 774-8627
Other providers in Chariton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.