Active NPI
Roxanne Elaine Smith, PHARM D
- Community/Retail Pharmacy
- Evans, GA
National Provider Identifier
1326765488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RPH017180
- Practice address
- 5101 Washington Rd
Evans, GA 30809-6445 - Phone
- (706) 650-0911
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH017180 | GA | |
| Community/Retail Pharmacy | 3336C0003X | RPH017180 | GA | Primary |
Addresses
Primary practice location
5101 Washington Rd
Evans, GA 30809-6445
Mailing address
5101 Washington Rd
Evans, GA 30809-6445
Phone (706) 650-0911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH017180 | Other | GA | GEORGIA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| RPH017180 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Community/Retail Pharmacy | Past | Accepting new patients |
| Georgia CVS Pharmacy, L.L.C. | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1326765488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096445",
"telephone_number": "706-650-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096445",
"telephone_number": "706-650-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROXANNE",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH017180",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "RPH017180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF PHARMACY",
"identifier": "RPH017180",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.