Organization Active NPI

Smart Pharmacy, LLC

  • Long Term Care Pharmacy
  • Stockton, CA
National Provider Identifier
1447823141
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SMART PHARMACY, LLC
Practice address
1801 E March LN Ste B280
Stockton, CA 95210-6653
Phone
(209) 474-2888
Fax
(209) 474-3328
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Pratap Krishna Anne
Title
Pharmacist
Phone
(209) 298-1715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1801 E March LN Ste B280
Stockton, CA 95210-6653

Mailing address

1801 E March LN Ste B280
Stockton, CA 95210-6653
Phone (209) 474-2888

Other names 1

  • BJRX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BJRX Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 E March Ln
Ste B280
Stockton, CA 95210
Phone (209) 395-0555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1447823141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE B280",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106653",
            "telephone_number": "209-474-2888",
            "fax_number": "209-474-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE B280",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106653",
            "telephone_number": "209-474-2888",
            "fax_number": "209-474-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "209-298-1715"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJRX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.