Active NPI
Megan K Smith, PHARM D
- Pharmacist
- Lake Geneva, WI
National Provider Identifier
1669767646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051288289
- Practice address
- 660 N Edwards Blvd
Lake Geneva, WI 53147-4595 - Phone
- (262) 248-5611
- Fax
- (847) 726-2584
- NPI assigned
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13246-040 | WI | |
| Pharmacist | 183500000X | 051288289 | IL | Primary |
Addresses
Primary practice location
660 N Edwards Blvd
Lake Geneva, WI 53147-4595
Mailing address
660 N Edwards Blvd
Lake Geneva, WI 53147-4595
Phone (262) 248-5611
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 |
|---|---|---|---|
| 051288289 | IL | MD | Pharmacist |
| 13246-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1669767646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 N EDWARDS BLVD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474595",
"telephone_number": "262-248-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 N EDWARDS BLVD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474595",
"telephone_number": "262-248-5611",
"fax_number": "847-726-2584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MEGAN",
"middle_name": "K",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13246-040",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051288289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.