Melvin Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH020905 Issued in GA

Practice address

225 W Ponce de Leon Ave
Decatur, GA 30030-3270

Phone

(404) 373-9627

NPI assigned

Dec 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Decatur, GA
  • NPI 1992809826
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1366048159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WEMBLEY CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293968",
            "telephone_number": "770-508-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303270",
            "telephone_number": "404-373-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anyan Smith, PH. D.
• Loreal Ashley Smith
• Marcus Smith
• Marla E Smith, MPT
• Martine Smith
• Michael Smith, PT, DPT, CSCS
• Michael R Smith
• Michael William Smith, M.D.
• Paul B Smith, DDS
• Rachel Smith

• Pharmacist in Decatur, GA
• Providers in Decatur, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.