Tonja Medival Smith, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9956 Issued in TN

Practice address

2861 Broad Ave
Memphis, TN 38112-2903

Phone

(901) 260-8500

Fax

(901) 325-6469

NPI assigned

May 10, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1467401893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 US HIGHWAY 64 G",
            "city": "WHITEVILLE",
            "state": "TN",
            "postal_code": "380757476",
            "telephone_number": "731-859-5016",
            "fax_number": "731-859-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 BROAD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381122903",
            "telephone_number": "901-260-8500",
            "fax_number": "901-325-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TONJA",
        "middle_name": "MEDIVAL",
        "name_prefix": "Ms.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Smith, MS
• Timothy L Smith, CRNA
• Timothy Lee Smith, M.S., L.P.C.
• Toddrick Smith, DDS
• Tommy Maurice Smith Jr., SSC
• Tonya Lashay Smith, P.T.
• Tori Wolfe Smith, AU.D.
• Vincent D Smith, M.D.
• Webb A Smith, PHD
• William Chapman Smith, MD

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.