Active NPI
Lucas William Smedley, PHARMD, BCCCP
- Pharmacist
- San Antonio, TX
National Provider Identifier
1427684398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60620
- Practice address
- 1310 McCullough Ave
San Antonio, TX 78212-5601 - Phone
- (210) 757-2200
- NPI assigned
- Mar 23, 2020
- 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 | 60620 | TX | Primary |
Addresses
Primary practice location
1310 McCullough Ave
San Antonio, TX 78212-5601
Mailing address
21626 Stonewall Pkwy Apt 3210
San Antonio, TX 78256-1698
Phone (317) 306-6467
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60620 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601769600000",
"number": "1427684398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21626 STONEWALL PKWY APT 3210",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782561698",
"telephone_number": "317-306-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MCCULLOUGH AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125601",
"telephone_number": "210-757-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEDLEY",
"first_name": "LUCAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD, BCCCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2020-10-04",
"certification_date": "2020-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.