Individual provider Active NPI

Jennifer Michelle Smith, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Austin, TX
National Provider Identifier
1629167523
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
42724 Issued in TX
Practice address
1340 Airport Commerce Dr
Building 3, Suite 350
Austin, TX 78741-6831
Phone
(512) 628-8877
Fax
(512) 628-8878
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 42724 TX Primary

Addresses

Primary practice location

1340 Airport Commerce Dr
Building 3, Suite 350
Austin, TX 78741-6831

Mailing address

1340 Airport Commerce Drive
Building 3, Suite 350
Austin, TX 78741
Phone (512) 628-8877

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
42724TXMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1629167523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 AIRPORT COMMERCE DRIVE",
            "address_2": "BUILDING 3, SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78741",
            "telephone_number": "512-628-8877",
            "fax_number": "512-628-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 AIRPORT COMMERCE DR",
            "address_2": "BUILDING 3, SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416831",
            "telephone_number": "512-628-8877",
            "fax_number": "512-628-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "42724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.