Individual provider Active NPI

Lafreda Robinson Smith, PHARM.D.

  • Pharmacist
  • Marietta, GA
National Provider Identifier
1649876947
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH032386 Issued in GA
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

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17509361MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
36186TXMDClinical Social Worker
RPH032386GAMDPharmacist
051039582ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Dec 28, 2022 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.

Verify at the official NPI Registry.