Active NPI
Jeffery Dan Smith, RPH
- Pharmacist
- Kamas, UT
National Provider Identifier
1386167401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 144346-1701
- Practice address
- 146 West 200 South
Kamas, UT 84036 - Phone
- (435) 783-4316
- Fax
- (435) 783-4370
- NPI assigned
- Jul 20, 2017
- Last updated
- Jul 20, 2017
- 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 | 144346-1701 | UT | Primary |
Addresses
Primary practice location
146 West 200 South
Kamas, UT 84036
Mailing address
P.O. Box 560
146 West 200 South
Kamas, UT 84036
Phone (435) 783-4316
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 |
|---|---|---|---|
| 144346-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamas Food Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1386167401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 560",
"address_2": "146 WEST 200 SOUTH",
"city": "KAMAS",
"state": "UT",
"postal_code": "84036",
"telephone_number": "435-783-4316",
"fax_number": "435-783-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 WEST 200 SOUTH",
"city": "KAMAS",
"state": "UT",
"postal_code": "84036",
"telephone_number": "435-783-4316",
"fax_number": "435-783-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEFFERY",
"middle_name": "DAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "144346-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamas, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.