Marsheka Varcha Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R897360 Issued in MS

Practice address

5025 Highway 305 N
Olive Branch, MS 38654-3602

Phone

(662) 890-3548

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

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.

• Mississippi CVS Pharmacy LLC

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)
• Mississippi CVS Pharmacy, L.L.C.

  • Pharmacy
  • Olive Branch, MS
  • NPI 1093046500
  NPD (past)

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1447847157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 HUNTERS FOREST DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547532",
            "telephone_number": "662-897-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 HIGHWAY 305 N",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543602",
            "telephone_number": "662-890-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARSHEKA",
        "middle_name": "VARCHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R897360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Smith, FNP
• Carri Smith, PHARM D
• Julia Lynn Smith, FNP
• Kenyecta D Smith, P-LPC
• Lisa Ann Smith, LCSW
• Mary Elizabeth Smith, P-LPC, LAC
• Robin Powe Smith, PT,DPT
• Southern Pain and Regenerative Medicine PC
• Southern Vascular and Pain Surgery Center Olive Branch LLC
• Southland Wellness PLLC

• Registered Nurse in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.