Organization Active NPI

Smith Management Services, LLC

Doing business as Family Pharmacy #20

  • Pharmacy
  • Bolivar, MO
National Provider Identifier
1578042164
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SMITH MANAGEMENT SERVICES, LLC
Doing business as
Family Pharmacy #20
Practice address
1326 W Broadway St
Bolivar, MO 65613-1815
Phone
(417) 326-8747
Fax
(417) 326-8748
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SMITH MANAGEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Roy Meidinger
Title
Vice President
Phone
(980) 422-3584

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

1326 W Broadway St
Bolivar, MO 65613-1815

Mailing address

PO Box 172678
Spartanburg, SC 29301-0064
Phone (864) 582-1216

Other names 1

  • Family Pharmacy #20 Doing business as

National Provider Directory

National Provider Directory
Part of
Smith Management Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1578042164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172678",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293010064",
            "telephone_number": "864-582-1216",
            "fax_number": "855-971-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 W BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131815",
            "telephone_number": "417-326-8747",
            "fax_number": "417-326-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMITH MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "MEIDINGER",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "980-422-3584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy #20",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolivar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.