Kimberly Smith
Individual provider Active NPI Pharmacist · Avon, IN
NPI 1124664073 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1124664073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26019343A (IN)
- Practice address
- 108 N Avon Ave
Avon, IN 46123-8475 - Phone
- (317) 272-4135
- Fax
- (317) 347-8489
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019343A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019343A | IN | Yes |
Addresses
Primary practice location
108 N Avon Ave
Avon, IN 46123-8475
Mailing address
108 N Avon Ave
Avon, IN 46123-8475
Phone (317) 272-4135
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2026. 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.