Active NPI
Kathleen Smith, RPH
- Pharmacist
- Elkton, MD
National Provider Identifier
1629453063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13548
- Practice address
- 301 E Pulaski Hwy
Elkton, MD 21921-6415 - Phone
- (414) 410-6251
- NPI assigned
- Jul 28, 2015
- Last updated
- Sep 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 13548 | MD | |
| Pharmacist | 183500000X | 13548 | MD | Primary |
Addresses
Primary practice location
301 E Pulaski Hwy
Elkton, MD 21921-6415
Mailing address
921 Emory Church Rd
Upperco, MD 21155-9718
Phone (843) 327-9691
Other practice location 1
1250 S Wheeler St
Jasper, TX 75951-5120
Phone (409) 381-8396
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 |
|---|---|---|---|
| 13548 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1629453063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 EMORY CHURCH RD",
"city": "UPPERCO",
"state": "MD",
"postal_code": "211559718",
"telephone_number": "843-327-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E PULASKI HWY",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216415",
"telephone_number": "414-410-6251"
}
],
"practiceLocations": [
{
"address_1": "1250 S Wheeler St",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "TX",
"postal_code": "759515120",
"country_code": "US",
"telephone_number": "409-381-8396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KATHLEEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MD",
"license": "13548",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "13548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.