Jeanette Smith, BS PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

3991 Issued in WV

Practice address

1220 N Eisenhower Dr
Beckley, WV 25801-3120

Phone

(304) 252-1265

Fax

(304) 252-5093

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1124628375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013120",
            "telephone_number": "304-252-1265",
            "fax_number": "304-252-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013120",
            "telephone_number": "304-252-1265",
            "fax_number": "304-252-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANETTE",
        "credential": "BS PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Smith
• Isiah Smith I
• James A Smith Jr.
• Janae Smith
• Jason Phillip Smith, MSW
• Jennifer Marie Smith, RPH
• Johnathan Eugene Smith
• Josiah Clair Preston Smith, MSW, LGSW
• Kassandra Smith
• Kelsey Delana Smith, LGSW

• Pharmacist in Beckley, WV
• Providers in Beckley, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.