Active NPI
Jacey Smith
- Pharmacist
- Ozark, MO
National Provider Identifier
1619841186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2025031959
- Practice address
- 5540 N Farmer Branch Rd
Ozark, MO 65721-5315 - Phone
- (417) 485-8555
- NPI assigned
- Sep 30, 2025
- Last updated
- Sep 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2025031959 | MO | Primary |
Addresses
Primary practice location
5540 N Farmer Branch Rd
Ozark, MO 65721-5315
Mailing address
5540 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 485-8555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025031959 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPBN Apothecary LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1619841186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 N FARMER BRANCH RD",
"city": "OZARK",
"state": "MO",
"postal_code": "657215315",
"telephone_number": "417-485-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 N FARMER BRANCH RD",
"city": "OZARK",
"state": "MO",
"postal_code": "657215315",
"telephone_number": "417-485-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2025031959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
- Matthew Skala, OTR/L
- Smile Clubhouse Ozark LLC (Honeycomb Pediatric Dentistry)
- Smith Management Services, LLC (Family Pharmacy #29)
- Smith Management Services, LLC (Family Pharmacy #1)
- Smith Management Services, LLC (Family Pharmacy #10)
- Jeff Smith, RPH
- Victoria Krysten Smith
- Mary Helen Snider, LPC
- Katelyn Spain, M.S. CCC-SLP
- St Johns Clinic Inc (SJC-Ozark)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.