Thomas Robert Smith, PHARMD

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

26024785A Issued in IN

Practice address

1720 Beacon St
Fort Wayne, IN 46805-4749

Phone

(856) 693-2024

NPI assigned

Jul 10, 2018

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1407342769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 HEMINGWAY BAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148233",
            "telephone_number": "856-693-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054749",
            "telephone_number": "856-693-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "IN",
            "license": "26024785A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah S Smith
• Savannah Smith
• Stephanie Nicole Smith, PT, DPT
• Stephen Gerard Smith, COTA
• Suzanne M Smith, PA-C
• Tina Smith
• Traci Smith
• Treva E Smith, BCBA
• Tyrone Smith, DDS, MS
• Yvonne Smith, LCSW

• Psychiatric Pharmacist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychiatric Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.