Jared Burt Smith, PHARMD – Pharmacist in Centre, AL

Key facts

NPI: 1245834845
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 16864 (AL)
Practice address: 101 Chesnut Byp
Centre, AL 35960-1427
Phone: (256) 927-4346
NPI assigned: Nov 24, 2020
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Alabama CVS Pharmacy, L.L.C. Pharmacy · Centre, AL · NPI 1316040041

NPD
Alabama CVS Pharmacy LLC Pharmacy · Auburn, AL · NPI 1619668076

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
16864	AL	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Alabama CVS Pharmacy, L.L.C.		Current since Mar 3, 2024	Accepting new patients
Alabama CVS Pharmacy LLC		Past since Nov 29, 2020	Accepting new patients

Locations

101 Chesnut Byp
Centre, AL 35960
Phone (256) 927-2420

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	16864	AL	Yes

Addresses

Primary practice location

101 Chesnut Byp
Centre, AL 35960-1427

Mailing address

101 Chesnut Byp
Centre, AL 35960-1427
Phone (256) 927-4346

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 24, 2020.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1245834845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESNUT BYP",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601427",
            "telephone_number": "256-927-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESNUT BYP",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601427",
            "telephone_number": "256-927-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JARED",
        "middle_name": "BURT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

All providers in Centre, AL · Pharmacist in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. 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.

Verify at the official NPI Registry.