Individual provider Active NPI

Robert Carey Smith, RPH

  • Pharmacist
  • Saraland, AL
National Provider Identifier
1609535814
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11780 Issued in AL
Practice address
95 Shell St BLDG B
Saraland, AL 36571-2202
Phone
(251) 435-8040
NPI assigned
Dec 15, 2021
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11780OtherALALABAMA STATE BOARD OF PHARMACY
E-07910OtherMSMISSISSIPPI 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

LicenseStateTypeSpecialty
11780ALMDPharmacist
E-07910MSMDPharmacist

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.

Verify at the official NPI Registry.