Carlyle Grace Smith, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

E-102165 Issued in MS

Practice address

15371 Dedeaux Rd
Gulfport, MS 39503-3855

Phone

(228) 539-9890

NPI assigned

Nov 28, 2025

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Gulfport, MS
  • NPI 1477568632
  NPD
• Walgreen Co

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

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1306708342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 POPPS FERRY RD APT H25",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322222",
            "telephone_number": "228-224-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15371 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033855",
            "telephone_number": "228-539-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLYLE",
        "middle_name": "GRACE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "E-102165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Slocum, NP
• Charles E Slonaker, MD
• Smile Country Orthodontics
• Sarah Suzanne Smirthwaite
• Calvin Smith
• Carol Ann Smith, M.D.
• Carolyn Dianne Smith
• Chandra Smith
• Chase Allen Smith, NP
• Claudia Bridgett Smith, RN

• Community/Retail Pharmacy in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.