Individual provider Active NPI

Scott Sullins Smith Jr., PHARMD

  • Pharmacist
  • Pasadena, TX
National Provider Identifier
1518630805
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68745 Issued in TX
Practice address
5200 Fairmont Pkwy
Pasadena, TX 77505-3802
Phone
(281) 487-8091
NPI assigned
Aug 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68745 TX Primary

Addresses

Primary practice location

5200 Fairmont Pkwy
Pasadena, TX 77505-3802

Mailing address

507 Green Cedar Dr
League City, TX 77573-3965
Phone (832) 425-7010

Other practice location 1

150 W El Dorado Blvd
Friendswood, TX 77546-6500
Phone (281) 480-6164

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
68745TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1518630805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 GREEN CEDAR DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733965",
            "telephone_number": "832-425-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053802",
            "telephone_number": "281-487-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W El Dorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775466500",
            "country_code": "US",
            "telephone_number": "281-480-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "SULLINS",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.