Active NPI
Sheldon Carroll Smith, RPH
- Pharmacist
- Americus, GA
National Provider Identifier
1336742667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH017304
- Practice address
- 1036 E Forsyth St
Americus, GA 31709-3722 - Phone
- (229) 924-6917
- Fax
- (229) 924-2912
- NPI assigned
- Nov 19, 2020
- 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 | RPH017304 | GA | Primary |
Addresses
Primary practice location
1036 E Forsyth St
Americus, GA 31709-3722
Mailing address
567 Laurel Ridge LN
Cataula, GA 31804-2866
Phone (706) 653-6161
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 |
|---|---|---|---|
| RPH017304 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1336742667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 LAUREL RIDGE LN",
"city": "CATAULA",
"state": "GA",
"postal_code": "318042866",
"telephone_number": "706-653-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 E FORSYTH ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093722",
"telephone_number": "229-924-6917",
"fax_number": "229-924-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHELDON",
"middle_name": "CARROLL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH017304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.