Active NPI
Janet Diane Smith, D.PH.
- Pharmacist
- Ardmore, OK
National Provider Identifier
1164799748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9303
- Practice address
- 1111 N Commerce St
Ardmore, OK 73401-3922 - Phone
- (580) 226-6978
- NPI assigned
- Nov 25, 2011
- Last updated
- Nov 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9303 | OK | Primary |
Addresses
Primary practice location
1111 N Commerce St
Ardmore, OK 73401-3922
Mailing address
9230 Myall Rd
Lone Grove, OK 73443-6549
Phone (580) 657-2861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9303 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1164799748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9230 MYALL RD",
"city": "LONE GROVE",
"state": "OK",
"postal_code": "734436549",
"telephone_number": "580-657-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734013922",
"telephone_number": "580-226-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JANET",
"middle_name": "DIANE",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-25",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "9303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.