Active NPI
Eric Wane Smith, PH.D., R.PH.
- Pharmacist
- Lexington, SC
National Provider Identifier
1326415944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11930
- Practice address
- 125 Park Place CT
Lexington, SC 29072-6690 - Phone
- (803) 808-0688
- Fax
- (803) 808-0698
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- No
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11930 | SC | MD | Radiation Oncology Physician |
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 | 11930 | SC | Primary |
Addresses
Primary practice location
125 Park Place CT
Lexington, SC 29072-6690
Mailing address
125 Park Place CT
Lexington, SC 29072-6690
Phone (803) 808-0688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11930 | Other | SC | SC BOARD OF PHARMACY - PHARMACIST LICENSE |
NPI Registry JSON
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1326415944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PARK PLACE CT",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290726690",
"telephone_number": "803-808-0688",
"fax_number": "803-808-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARK PLACE CT",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290726690",
"telephone_number": "803-808-0688",
"fax_number": "803-808-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ERIC",
"middle_name": "WANE",
"credential": "PH.D., R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC BOARD OF PHARMACY - PHARMACIST LICENSE",
"identifier": "11930",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.