Active NPI
Amanda Jill Smith, RPH
- Pharmacist
- Parsons, WV
National Provider Identifier
1467854802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP 5957
- Practice address
- 8591 Holly Meadows Rd
Parsons, WV 26287-8604 - Phone
- (304) 478-3339
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | RP 5957 | WV | Primary |
Addresses
Primary practice location
8591 Holly Meadows Rd
Parsons, WV 26287-8604
Mailing address
341 Shaffers Run Rd
Mill Creek, WV 26280-4527
Phone (304) 940-0414
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP 5957 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1467854802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 SHAFFERS RUN RD",
"city": "MILL CREEK",
"state": "WV",
"postal_code": "262804527",
"telephone_number": "304-940-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8591 HOLLY MEADOWS RD",
"city": "PARSONS",
"state": "WV",
"postal_code": "262878604",
"telephone_number": "304-478-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"middle_name": "JILL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2022-02-10",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP 5957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parsons, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.