Jeffrey Daniel Smich, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03314460 Issued in OH

Practice address

10380 Northfield Rd
Northfield, OH 44067-1444

Phone

(330) 468-0132

Fax

(330) 467-9804

NPI assigned

Jul 30, 2006

Reactivated

Feb 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1659386365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 NORTHFIELD RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671444",
            "telephone_number": "330-468-0132",
            "fax_number": "330-467-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 NORTHFIELD RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671444",
            "telephone_number": "330-468-0132",
            "fax_number": "330-467-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICH",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "deactivation_date": "2020-10-13",
        "reactivation_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03314460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Constance Marie Smith-Krueger, R.N.
• Douglas A Smith, M.D.
• Joann Maria Smith
• Randolph Smith
• Sunshine Smith, LMT, CPT

• Pharmacist in Northfield, OH
• Providers in Northfield, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.