Elizabeth Mitchell Smith, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202006979 Issued in VA

Practice address

3330 S Crater Rd
Petersburg, VA 23805-9277

Phone

(804) 863-1394

Fax

(804) 863-1903

NPI assigned

Apr 9, 2007

Sex

Female

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275656738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 FOX HILL PL",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751865",
            "telephone_number": "804-541-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059277",
            "telephone_number": "804-863-1394",
            "fax_number": "804-863-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SJW Behavioral Health Network
• SKB Services LLC
• James Lester Slagle Jr., DDS
• Kara Michelle Sloan
• Chelsea Smith
• Felicia Michelle Smith, LPC
• Jayme Smith, SLP
• Raquel Smith, NP
• Raymond Gibson Smith Jr., DDS
• Ronald Smith, PHD, LPC

• Pharmacist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.