Angela M Smith

Primary specialty

PharmacistTaxonomy code 183500000X

License

120692 Issued in MN

Practice address

900 Cooper Ave S
Saint Cloud, MN 56301-6267

Phone

(320) 252-1515

Fax

(320) 202-1626

NPI assigned

Nov 17, 2011

Sex

Female

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

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.

• Coborns Inc

  • Community/Retail Pharmacy
  • Saint Cloud, MN
  • NPI 1568534238
  NPD (past)
• Coborns Inc

  • Community/Retail Pharmacy
  • Aberdeen, SD
  • NPI 1639966286
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1407123565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 JUERGENS RD SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502376",
            "telephone_number": "218-341-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016267",
            "telephone_number": "320-252-1515",
            "fax_number": "320-202-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amorita Dawn Slack
• Amelia Sliefert
• Smartcare Link LLC
• Amy Lyn Smith, MHP
• Angela Justine Smith, NP-C
• Anita Rochelle Smith, M.D.
• Bobbi Smith, SLP
• Daniel Robert Smith, M.D.
• James M Smith, MD
• Kevin B. Smith

• Pharmacist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.