Dustin Tyler Smith, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

53230 Issued in TX

Practice address

3615 19TH St # Ms 108
Lubbock, TX 79410-1203

Phone

(806) 725-7979

Fax

(806) 723-7979

NPI assigned

Nov 5, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1215538384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242606",
            "telephone_number": "806-292-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 19TH ST # MS 108",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101203",
            "telephone_number": "806-725-7979",
            "fax_number": "806-723-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DUSTIN",
        "middle_name": "TYLER",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kay Smith, MD
• Daniel Wayne Smith, DDS
• David G Smith, LCDC
• Derek Smith, M.D.
• Douglas Bradford Smith, PHD
• Gary D Smith, MD
• Jacquelyn Smith
• Janie Laine Smith
• Jeff Smith
• Karen Smith, LPC-ASSOCIATE

• Pharmacist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.