Wayne Leroy Smiley, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5208 Issued in ID

Practice address

1320 S Blaine St
Moscow, ID 83843-3971

Phone

(208) 882-2663

Fax

(208) 882-0297

NPI assigned

Nov 6, 2010

Last updated

Nov 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Safeway Inc

  dba Safeway Pharmacy #0383

  • Community/Retail Pharmacy
  • Moscow, ID
  • NPI 1073559696
  NPD (past)
• Safeway Inc

  dba Safeway Pharmacy #0209

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289001600000",
    "number": "1629379623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 REID RD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991638759",
            "telephone_number": "509-334-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S BLAINE ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433971",
            "telephone_number": "208-882-2663",
            "fax_number": "208-882-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "WAYNE",
        "middle_name": "LEROY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-06",
        "last_updated": "2010-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5208",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00019086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L. Simonds, PH.D.
• Harnek Singh, MD
• Breanna Sipley, LMSW
• Mary Skoglund, RDN, LD, CDCES
• Molly Elizabeth Slovnik, LMSW
• Heather Ann Smith
• Kelsey Faith Smith
• Mashonda Smith, M.S.
• Meredith Smith
• Robert K Smith, CRNA

• Pharmacist in Moscow, ID
• Providers in Moscow, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2010; 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.