Active NPI
Rickey Smotherman, RPH
- Pharmacist
- Olla, LA
National Provider Identifier
1306117973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011737
- Practice address
- 2832 Front Street
Olla, LA 71465 - Phone
- (318) 495-5155
- Fax
- (318) 495-5635
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011737 | LA | Primary |
Addresses
Primary practice location
2832 Front Street
Olla, LA 71465
Mailing address
PO Box 699
Olla, LA 71465-0699
Phone (318) 495-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011737 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smotherman Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1306117973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "OLLA",
"state": "LA",
"postal_code": "714650699",
"telephone_number": "318-495-5155",
"fax_number": "318-495-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 FRONT STREET",
"city": "OLLA",
"state": "LA",
"postal_code": "71465",
"telephone_number": "318-495-5155",
"fax_number": "318-495-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERMAN",
"first_name": "RICKEY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "011737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olla, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.