Corina Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0017846 Issued in OR

Practice address

2150 Fairgrounds Rd NE
Salem, OR 97301-0641

Phone

(503) 428-5107

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Locations

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.

• Walgreen Co

  • Pharmacy
  • Salem, OR
  • NPI 1104092303
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1366969842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 FAIRGROUNDS RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010641",
            "telephone_number": "503-428-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 FAIRGROUNDS RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010641",
            "telephone_number": "503-428-5107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1256 El Paseo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880016026",
            "country_code": "US",
            "telephone_number": "575-525-8713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CORINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00008799",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500785555",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Edward Smith, DC
• Brian Smith
• Brittany Leigh Smith
• Brook Smith
• Brooke Michele Smith
• Cory M Smith, DMD
• Daniel Karl Smith
• Daniel V Smith, PSY.D.
• Denise E Smith, LCSW
• Elaine Clare Smith, R.N.

• All providers in Salem, OR
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.