Individual provider Active NPI

Lucas Smith, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Buena Vista, CO
National Provider Identifier
1609283837
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
20343 Issued in CO
Practice address
403 US Highway 24 South
Buena Vista, CO 81211
Phone
(719) 395-2481
Fax
(719) 395-2484
NPI assigned
Jul 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 20343 CO Primary

Addresses

Primary practice location

403 US Highway 24 South
Buena Vista, CO 81211

Mailing address

PO Box 1670
403 US Highway 24 South
Buena Vista, CO 81211-1670
Phone (719) 395-2481

Other identifiers 1

IdentifierTypeStateIssuer
CO1102OtherCOCOMPREHENSIVE CONTRACEPTIVE EDUCATION PROVIDING CERTIFICATION FOR CO PHARMACIST

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

LicenseStateTypeSpecialty
20343COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
LJCC Services, LLC PastSince Nov 24, 2024 Accepting new patients
Rxplus Limited, LLC Past Accepting new patients
Sayotte, LLC Past Accepting new patients
Rxplus Limited, LLC PastSince Nov 24, 2024 Accepting new patients
LJCC Services, LLC PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1609283837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1670",
            "address_2": "403 US HIGHWAY 24 SOUTH",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812111670",
            "telephone_number": "719-395-2481",
            "fax_number": "719-395-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 US HIGHWAY 24 SOUTH",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "719-395-2481",
            "fax_number": "719-395-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "20343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE CONTRACEPTIVE EDUCATION PROVIDING CERTIFICATION FOR CO PHARMACIST",
            "identifier": "CO1102",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.