Individual provider Active NPI

Heather Dayle Smith, PHARM.D.

  • Pharmacist
  • Canton, GA
National Provider Identifier
1649488149
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020876 Issued in GA
Practice address
10511 Bells Ferry Rd
Suite 600
Canton, GA 30114-4258
Phone
(770) 720-0300
Fax
(770) 720-0373
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020876 GA Primary

Addresses

Primary practice location

10511 Bells Ferry Rd
Suite 600
Canton, GA 30114-4258

Mailing address

10511 Bells Ferry Rd
Suite 600
Canton, GA 30114-4258
Phone (770) 720-0300

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
020876GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgemill Family Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1649488149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 BELLS FERRY RD",
            "address_2": "SUITE 600",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144258",
            "telephone_number": "770-720-0300",
            "fax_number": "770-720-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 BELLS FERRY RD",
            "address_2": "SUITE 600",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144258",
            "telephone_number": "770-720-0300",
            "fax_number": "770-720-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "DAYLE",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "020876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.