Jerry Robert Smead, R.PH.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

RPH-0013059 Issued in OR

Practice address

2589 NW Edenbower Blvd
Roseburg, OR 97471-6224

Phone

(541) 677-4334

Fax

(541) 677-2121

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cow Creek Health and Wellness Pharmacy

  • Pharmacist
  • Roseburg, OR
  • NPI 1639036916
  NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1235174004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716224",
            "telephone_number": "541-672-8533",
            "fax_number": "541-492-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716224",
            "telephone_number": "541-677-4334",
            "fax_number": "541-677-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEAD",
        "first_name": "JERRY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH00016183",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OR",
            "license": "RPH-0013059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby L Slater
• Laura Lea Slay, LPN
• Shelby Afton Marie Slay, CADC II
• Sleep Health & Wellness NW-Roseburg
• Sleep Health & Wellness NW-Roseburg
• Cheyenne Mae Smith
• Christina Renee Smith
• Christy Smith
• Cordell Becker Smith, DPM
• Daniela Estrada Madrid Smith, LCSW

• Pharmacotherapy Pharmacist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Pharmacotherapy Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.