Randal Mark Smith, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13807-040 Issued in WI

Practice address

2424 E Clairmont Ave
Eau Claire, WI 54701-6773

Phone

(715) 834-7380

Fax

(715) 834-1034

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1578874152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CANTERBURY ROAD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017105",
            "telephone_number": "715-552-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E CLAIRMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016773",
            "telephone_number": "715-834-7380",
            "fax_number": "715-834-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDAL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13807-040",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042252",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "9562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce A Smith, NP
• Krystal R Smith, MS, LPC
• Michael J Smith, M.D.
• Nicole Stephanie Smith, AU.D., CCC-A
• Peter M Smith, PHARMD
• Shaughnelene Smith, DO
• Nathan E Smithberg, MD
• Anna Jane Smugala, APNP
• Lindsay Marie Smutney, MA
• Kenneth Snart

• Pharmacist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.