Active NPI
Jeremy Smith
- Pharmacist
- Lancaster, NY
National Provider Identifier
1376990622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I060654
- Practice address
- 21 Hampton CT
Lancaster, NY 14086-9422 - Phone
- (716) 392-1700
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
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 | I060654 | NY | Primary |
Addresses
Primary practice location
21 Hampton CT
Lancaster, NY 14086-9422
Mailing address
21 Hampton CT
Lancaster, NY 14086-9422
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I060654 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1376990622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HAMPTON CT",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140869422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HAMPTON CT",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140869422",
"telephone_number": "716-392-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I060654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.