Active NPI
Ronald Douglas Smith, RPH
- Pharmacist
- Claxton, GA
National Provider Identifier
1326330879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17179
- Practice address
- 401 N Duval St
Claxton, GA 30417-5939 - Phone
- (912) 739-1327
- NPI assigned
- May 3, 2011
- 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 | 17179 | GA | Primary |
Addresses
Primary practice location
401 N Duval St
Claxton, GA 30417-5939
Mailing address
3028 Shallowford Rd
Marietta, GA 30062-1252
Phone (770) 971-6180
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 |
|---|---|---|---|
| 17179 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1326330879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 SHALLOWFORD RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300621252",
"telephone_number": "770-971-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N DUVAL ST",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304175939",
"telephone_number": "912-739-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RONALD",
"middle_name": "DOUGLAS",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "17179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claxton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.