Derek Smith, RPH

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

38160 Issued in TX

Practice address

One Medical Plaza
Pampa, TX 79065

Phone

(806) 663-5601

NPI assigned

Aug 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1164079752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL PLAZA",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "79065",
            "telephone_number": "806-663-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL PLAZA",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "79065",
            "telephone_number": "806-663-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEREK",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "TX",
            "license": "38160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith1@primehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "one medical plaza",
            "city": "pampa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thela D Simmons, O.D.
• Anita Mae Simpson, LVN
• Smile Zone-Pampa PLLC
• Bobby W Smith, DO
• Christine Smith, RN
• Jessica L Smith, FNP-BC
• Shane Smith, LMSW
• John W. Sparkman, D.D.S.
• SPMG Signature Pampa Medical Group
• SPMG Signature Pampa Medical Group

• Clinical Pharmacology Physician in Pampa, TX
• Providers in Pampa, TX by specialty
• Clinical Pharmacology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.