Individual provider Active NPI

Kathleen Smith, RPH

  • Pharmacist
  • Elkton, MD
National Provider Identifier
1629453063
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13548 Issued in MD
Practice address
301 E Pulaski Hwy
Elkton, MD 21921-6415
Phone
(414) 410-6251
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13548MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.