Smith Management Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SMITH MANAGEMENT SERVICES, LLC

Doing business as

Family Pharmacy #25

Practice address

916 N.W. Springfield Ave
Suite F
Ava, MO 65608

Phone

(417) 683-1760

Fax

(417) 683-1768

NPI assigned

Aug 15, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SMITH MANAGEMENT SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Roy Meidinger

Title

Vice President

Phone

(980) 422-3584

Specialties & licenses 6

Addresses

Other names 1

• Family Pharmacy #25 Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Marble Works Pharmacy

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1629558168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172678",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293010064",
            "telephone_number": "864-582-1216",
            "fax_number": "855-971-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N.W. SPRINGFIELD AVE",
            "address_2": "SUITE F",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "telephone_number": "417-683-1760",
            "fax_number": "417-683-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMITH MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MEIDINGER",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "980-422-3584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy #25",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharmacy #25",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lise G Rogers, LPC, NCC
• Holli K Ruby, DO
• Scott Mason DDS
• Alisa Leanna Shebiel
• Teresa Lynn Sherard, M.D.
• Grace Smith
• Jessica Marie Smith
• St Johns Clinic Inc (SJC-Ava)
• Linda Diania Stratford, C.O.T.A.
• Angela Sutton, LPC

• Community/Retail Pharmacy in Ava, MO
• Providers in Ava, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.