Active NPI
Robert Carey Smith, RPH
- Pharmacist
- Saraland, AL
National Provider Identifier
1609535814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11780
- Practice address
- 95 Shell St BLDG B
Saraland, AL 36571-2202 - Phone
- (251) 435-8040
- NPI assigned
- Dec 15, 2021
- Last updated
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11780 | AL | Primary |
| Pharmacist | 183500000X | E-07910 | MS |
Addresses
Primary practice location
95 Shell St BLDG B
Saraland, AL 36571-2202
Mailing address
20011 Lawrence Rd
Fairhope, AL 36532-4931
Phone (251) 391-3682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11780 | Other | AL | ALABAMA STATE BOARD OF PHARMACY |
| E-07910 | Other | MS | MISSISSIPPI BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11780 | AL | MD | Pharmacist |
| E-07910 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1609535814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20011 LAWRENCE RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365324931",
"telephone_number": "251-391-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SHELL ST BLDG B",
"city": "SARALAND",
"state": "AL",
"postal_code": "365712202",
"telephone_number": "251-435-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"middle_name": "CAREY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11780",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-07910",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA STATE BOARD OF PHARMACY",
"identifier": "11780",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI BOARD OF PHARMACY",
"identifier": "E-07910",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saraland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.