Active NPI
Scott Sullins Smith Jr., PHARMD
- Pharmacist
- Pasadena, TX
National Provider Identifier
1518630805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68745
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 68745 | TX | MD | Pharmacist |
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.