Active NPI
Nicholas Cody Smallwood, PHARMD.
- Pharmacist
- South Williamson, KY
National Provider Identifier
1659967602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16284
- Practice address
- 197 Appalachian PLZ
South Williamson, KY 41503-9402 - Phone
- (606) 237-6230
- Fax
- (606) 237-0196
- NPI assigned
- Dec 14, 2020
- Last updated
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16284 | KY | Primary |
Addresses
Primary practice location
197 Appalachian PLZ
South Williamson, KY 41503-9402
Mailing address
197 Appalachian PLZ
South Williamson, KY 41503-9402
Phone (606) 237-6230
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 |
|---|---|---|---|
| 16284 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1659967602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 APPALACHIAN PLZ",
"city": "SOUTH WILLIAMSON",
"state": "KY",
"postal_code": "415039402",
"telephone_number": "606-237-6230",
"fax_number": "606-237-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 APPALACHIAN PLZ",
"city": "SOUTH WILLIAMSON",
"state": "KY",
"postal_code": "415039402",
"telephone_number": "606-237-6230",
"fax_number": "606-237-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "NICHOLAS",
"middle_name": "CODY",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "16284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Williamson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.