Zachary James Smith, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58377 Issued in FL

Practice address

49TH Medical Group 280 First Street
Holloman Afb, NM 88330

Phone

(575) 572-2778

NPI assigned

Aug 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1598312084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MORGAN ST UNIT 4134",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49TH MEDICAL GROUP 280 FIRST STREET",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330",
            "telephone_number": "575-572-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Skicki, PSY.D.
• Andrew Smietana, DPT
• Debra Ann Smith, RNC, MS, WHNP
• Ericka Renee Smith, DA 3160
• Ryan Lloyd Smith, PHYSICAL THERAPIST
• Sayyid Stanford, LCSW
• Jeremy T Strong, DMD
• Sunland Optical Co., Inc.
• Deseray Nichole Suprise
• Michael H Toreno, CADAC

• Pharmacist in Holloman Afb, NM
• Providers in Holloman Afb, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.