Smith Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SMITH PHARMACY LLC

Practice address

1707 Gardere LN Ste F
Baton Rouge, LA 70820-8144

Phone

(225) 636-2454

Fax

(225) 636-2427

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Flowers-Smith

Title

Managing Officer

Phone

(225) 636-2454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Affordable Pharmacy 1002 Doing business as

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1487397121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 GARDERE LN STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708208144",
            "telephone_number": "225-636-2454",
            "fax_number": "225-636-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GARDERE LN STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708208144",
            "telephone_number": "225-636-2454",
            "fax_number": "225-636-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "FLOWERS-SMITH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "225-636-2454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208896",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Pharmacy 1002",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shermaine Smith Clark
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• Glennese Smith Scott
• Lomita Smith-Henry
• Dawn Smith-Johnson, RN
• Sharlanda Smith-Lazard
• Alexia Smith-London

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Retail Pharmacy in Louisiana

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

Verify at the official NPI Registry.