Active NPI
Gregory W Smith, PHARMD.
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1528188513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116123-6
- Practice address
- 1959 Suburban Ave
Saint Paul, MN 55119-7002 - Phone
- (651) 209-9690
- NPI assigned
- Mar 31, 2007
- Last updated
- Jul 8, 2007
- 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 | 116123-6 | MN | Primary |
Addresses
Primary practice location
1959 Suburban Ave
Saint Paul, MN 55119-7002
Mailing address
1594 Hillcrest Ave
Saint Paul, MN 55116-2147
Phone (651) 698-2704
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 |
|---|---|---|---|
| 116123-6 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byerly's Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528188513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 HILLCREST AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551162147",
"telephone_number": "651-698-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 SUBURBAN AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551197002",
"telephone_number": "651-209-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GREGORY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116123-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.