Active NPI
Smith's of Gastonia, Inc.
- Community/Retail Pharmacy
- Gastonia, NC
National Provider Identifier
1285712398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 06533
- Legal business name
- SMITH'S OF GASTONIA, INC.
- Practice address
- 121 W Main Ave
Gastonia, NC 28052-4154 - Phone
- (704) 864-2354
- Fax
- (704) 867-3913
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arnold M Walker, RPH
- Title
- President
- Phone
- (704) 865-2354
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 06533 | NC | |
| Community/Retail Pharmacy | 3336C0003X | 06533 | NC | Primary |
Addresses
Primary practice location
121 W Main Ave
Gastonia, NC 28052-4154
Mailing address
121 W Main Ave
Gastonia, NC 28052-4154
Phone (704) 864-2354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7701710 | Medicaid | NC | |
| 3406469 | Other | NC | BCNS |
Other names 1
- Smith Drugs
National Provider Directory
National Provider DirectoryLocations
121 W Main Ave
Gastonia, NC 28052
Phone (704) 864-2354
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Gastonia, NC
- NPI 1720447915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270598400000",
"number": "1285712398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W MAIN AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524154",
"telephone_number": "704-864-2354",
"fax_number": "704-867-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W MAIN AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524154",
"telephone_number": "704-864-2354",
"fax_number": "704-867-3913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH'S OF GASTONIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2010-04-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "ARNOLD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-865-2354",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "06533",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "06533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701710",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCNS",
"identifier": "3406469",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Smith Drugs",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.