Active NPI
Lafreda Robinson Smith, PHARM.D.
- Pharmacist
- Marietta, GA
National Provider Identifier
1649876947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032386
- Practice address
- 23 S Marietta Pkwy SW
Marietta, GA 30064-3288 - Phone
- (770) 420-8932
- NPI assigned
- Dec 10, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36186 | TX | |
| Pharmacist | 183500000X | 051039582 | IL | |
| Pharmacist | 183500000X | RPH032386 | GA | Primary |
Addresses
Primary practice location
23 S Marietta Pkwy SW
Marietta, GA 30064-3288
Mailing address
740 Keys Ferry Rd
Jackson, GA 30233-3108
Phone (404) 992-6892
Other practice location 1
1706 Lake Harbor Way
Houston, TX 77084-4599
Phone (404) 992-6892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17509361 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Pharmacy |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36186 | TX | MD | Clinical Social Worker |
| RPH032386 | GA | MD | Pharmacist |
| 051039582 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1649876947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 KEYS FERRY RD",
"city": "JACKSON",
"state": "GA",
"postal_code": "302333108",
"telephone_number": "404-992-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 S MARIETTA PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643288",
"telephone_number": "770-420-8932"
}
],
"practiceLocations": [
{
"address_1": "1706 Lake Harbor Way",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770844599",
"country_code": "US",
"telephone_number": "404-992-6892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "LAFREDA",
"middle_name": "ROBINSON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36186",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051039582",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17509361",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Pharmacy",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23 S Marietta Pkwy SW",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300643288",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.