Active NPI
Smart Pharmacy, LLC
- Long Term Care Pharmacy
- Stockton, CA
National Provider Identifier
1447823141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- BJRX Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Stockton, CA
- NPI 1063566446
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.
-
- Pharmacist
- Stockton, CA
- NPI 1700327525
-
- Pharmacist
- Stockton, CA
- NPI 1093113631
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.