Organization Active NPI

Health-Smart Pharmacy Inc.

  • Community/Retail Pharmacy
  • Baker, FL
National Provider Identifier
1386661254
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH13367 Issued in FL
Legal business name
HEALTH-SMART PHARMACY INC.
Practice address
5809 Highway 189 N
Baker, FL 32531-2501
Phone
(850) 537-6266
Fax
(850) 537-6350
NPI assigned
Jul 16, 2006
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Mrs. Melody Thompson Bolton, R.PH.NPI 1710028865
Title
President
Phone
(850) 537-6266

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH13367 FL
Community/Retail Pharmacy 3336C0003X PH13367 FL Primary

Addresses

Primary practice location

5809 Highway 189 N
Baker, FL 32531-2501

Mailing address

5809 Highway 189 N
Baker, FL 32531-2501
Phone (850) 537-6266

Other identifiers 1

IdentifierTypeStateIssuer
102978900MedicaidFL

Other names 1

  • Health Smart Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040163 FL DME Supplier - PharmacyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 7911027263 Practice locations: Baker, FL
O20140130000273 FL Part B Supplier - Mass Immunization (Roster Biller Only) 7911027263 Practice locations: Baker, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Health Smart Pharmacy5809 Highway 189 N, Baker, FL 32531-2501(850) 537-6266 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Oct 1, 2013

National Provider Directory

National Provider Directory

Locations

5809 Highway 189 N
Baker, FL 32531
Phone (850) 537-6266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1386661254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 HIGHWAY 189 N",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325312501",
            "telephone_number": "850-537-6266",
            "fax_number": "850-537-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 HIGHWAY 189 N",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325312501",
            "telephone_number": "850-537-6266",
            "fax_number": "850-537-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH-SMART PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-537-6266",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH13367",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH13367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102978900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Smart Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baker, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.