Organization Active NPI

Smith Works Pharmacy Inc

  • Community/Retail Pharmacy
  • Gibsonville, NC
National Provider Identifier
1356578470
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12682 Issued in NC
Legal business name
SMITH WORKS PHARMACY INC
Practice address
220 Burlington Ave
Gibsonville, NC 27249-2461
Phone
(336) 449-5501
Fax
(336) 449-5508
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Todd Smith, PHARM DNPI 1538754510
Title
Owner/President
Phone
(336) 312-9047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 12682 NC Primary

Addresses

Primary practice location

220 Burlington Ave
Gibsonville, NC 27249-2461

Mailing address

220 Burlington Ave
Gibsonville, NC 27249-2461
Phone (336) 449-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101106000020 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7315132156 Practice locations: Gibsonville, NC

National Provider Directory

National Provider Directory
Tax ID family
Smith Works Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 Burlington Ave
Gibsonville, NC 27249
Phone (336) 312-9047

235 Burke St
Gibsonville, NC 27249
Phone (336) 449-5501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1356578470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BURLINGTON AVE",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492461",
            "telephone_number": "336-449-5501",
            "fax_number": "336-449-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BURLINGTON AVE",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492461",
            "telephone_number": "336-449-5501",
            "fax_number": "336-449-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH WORKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-312-9047",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.