Active NPI
Jakeia Smith, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1669184156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31766
- Practice address
- 3534 Mt Holly Huntersville Rd
Charlotte, NC 28216-8644 - Phone
- (704) 399-5823
- NPI assigned
- Dec 16, 2022
- Last updated
- Dec 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31766 | NC | Primary |
Addresses
Primary practice location
3534 Mt Holly Huntersville Rd
Charlotte, NC 28216-8644
Mailing address
7035 Primrose Gardens LN Apt 3103
Charlotte, NC 28273-4473
Phone (601) 317-4445
Other practice location 1
3251 Freedom Dr
Charlotte, NC 28208-2816
Phone (704) 399-3955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447335765 | Other | NC | WALGREENS |
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 |
|---|---|---|---|
| 31766 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1669184156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7035 PRIMROSE GARDENS LN APT 3103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734473",
"telephone_number": "601-317-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3534 MT HOLLY HUNTERSVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168644",
"telephone_number": "704-399-5823"
}
],
"practiceLocations": [
{
"address_1": "3251 Freedom Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282082816",
"country_code": "US",
"telephone_number": "704-399-3955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JAKEIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-29",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WALGREENS",
"identifier": "1447335765",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.