Patrick Smith
Individual provider Active NPI Pharmacist · Brewster, OH
NPI 1184267403 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1184267403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03117533 (OH)
- Practice address
- 360 Wabash Ave N
Brewster, OH 44613-1042 - Phone
- (330) 767-3436
- NPI assigned
- Oct 18, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 03117533 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03117533 | OH | Yes |
Addresses
Primary practice location
360 Wabash Ave N
Brewster, OH 44613-1042
Mailing address
360 Wabash Ave N
Brewster, OH 44613-1042
Phone (330) 767-3436
Other providers in Brewster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. 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.