Active NPI
Mahrya Michelle Smith
- Pharmacist
- Danville, CA
National Provider Identifier
1679233480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85614
- Practice address
- 611 San Ramon Valley Blvd
Danville, CA 94526-4013 - Phone
- (925) 743-0166
- NPI assigned
- Dec 20, 2021
- 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 | 85614 | CA | Primary |
Addresses
Primary practice location
611 San Ramon Valley Blvd
Danville, CA 94526-4013
Mailing address
1751 Fisher Dr
Concord, CA 94520-4064
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | ||
| CONNECT URL | NA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85614 | CA | 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 and National Provider Directory roles.
-
- Pharmacy
- Danville, CA
- NPI 1437164704
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1679233480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 FISHER DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SAN RAMON VALLEY BLVD",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264013",
"telephone_number": "925-743-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MAHRYA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85614",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "611 San Ramon Valley Blvd",
"city": "Danville",
"state": "CA",
"country_code": "US",
"postal_code": "945264013",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "611 San Ramon Valley Blvd",
"city": "Danville",
"state": "CA",
"country_code": "US",
"postal_code": "945264013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.