Smith Apothecary Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00415400 Issued in NJ

Legal business name

SMITH APOTHECARY CORP

Practice address

25 West Main St
Maple Shade, NJ 08052

Phone

(856) 779-8300

Fax

(856) 779-9022

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Michael Thesing, PHARM D

Title

President

Phone

(856) 779-8300

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Smith Brothers Drug Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1568569481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEST MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "08052",
            "telephone_number": "856-779-8300",
            "fax_number": "856-779-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "08052",
            "telephone_number": "856-779-8300",
            "fax_number": "856-779-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH APOTHECARY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "THESING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-779-8300",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00415400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739251",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "7817040001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4397606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Brothers Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bennett S. Shenker, M.D.
• Danyel Sileo
• Eric Simpkins
• Jay Singh, MD
• Smith Apothecary Corp
• Ambrial Smith, MSW, LSW
• Lavon Lashanda Smith, BSN, RN
• Patricia Spuler, DPT
• Star Alliance Support Services
• Stephen E Paul DO PA

• Community/Retail Pharmacy in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.