Tabarius Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14027-040 Issued in WI

Practice address

N83W15701 Appleton Ave
Menomonee Falls, WI 53051-3042

Phone

(262) 251-3890

Fax

(262) 251-5106

NPI assigned

Nov 24, 2011

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #13088

  • Pharmacy
  • West Bend, WI
  • NPI 1093720989
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1322092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1255608923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N83W15701 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513042",
            "telephone_number": "262-251-3890",
            "fax_number": "262-251-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N83W15701 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513042",
            "telephone_number": "262-251-3890",
            "fax_number": "262-251-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 S Main St",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530955206",
            "country_code": "US",
            "telephone_number": "262-338-1156",
            "fax_number": "262-338-2497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TABARIUS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-24",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14027-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sipple, DPT
• Jessica Lynn Skudlarczyk, PHARMD
• Andrew Eric Smith, DDS
• Douglas S Smith, MD
• Linda Sue Smith, APNP
• Tasha Ann Smith
• Teresa Smith
• Whitnee Smith, LPC
• Timothy Lawrence Smykal, DC, FACO, CCSP
• Russell Robert Sobotta, R.PH., MBA

• Pharmacist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.