Active NPI
Casey Colvard Smith, PHARM.D.
- Pharmacist
- Chickamauga, GA
National Provider Identifier
1316535164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH027899
- Practice address
- 357 Lee and Gordon Mill Rd
Chickamauga, GA 30707-1716 - Phone
- (706) 956-5318
- Fax
- (706) 956-5319
- NPI assigned
- Jan 7, 2021
- Last updated
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 | RPH027899 | GA | Primary |
Addresses
Primary practice location
357 Lee and Gordon Mill Rd
Chickamauga, GA 30707-1716
Mailing address
PO Box 721
Chickamauga, GA 30707-0721
Phone (706) 956-5318
Other practice location 1
324 West Patton Street
LaFayette, GA 30728
Phone (706) 638-3114
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027899 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Drugs LTD | Past | Accepting new patients | |
| Medi Thrift Inc | Past | Accepting new patients | |
| Medi Thrift Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- La Fayette, GA
- NPI 1790840619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1316535164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721",
"city": "CHICKAMAUGA",
"state": "GA",
"postal_code": "307070721",
"telephone_number": "706-956-5318",
"fax_number": "706-956-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 LEE AND GORDON MILL RD",
"city": "CHICKAMAUGA",
"state": "GA",
"postal_code": "307071716",
"telephone_number": "706-956-5318",
"fax_number": "706-956-5319"
}
],
"practiceLocations": [
{
"address_1": "324 West Patton Street",
"address_purpose": "LOCATION",
"city": "LaFayette",
"state": "GA",
"postal_code": "30728",
"country_code": "US",
"telephone_number": "706-638-3114",
"fax_number": "706-638-7713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CASEY",
"middle_name": "COLVARD",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chickamauga, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.