Melissa D Smith, D.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10217 Issued in TN

Practice address

1507 Odell Ave
Jefferson City, TN 37760-2604

Phone

(423) 318-7431

NPI assigned

Aug 24, 2009

Sex

Female

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

Practice roles

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.

• K-VA-T Food Stores, Inc.

  • Community/Retail Pharmacy
  • Jefferson City, TN
  • NPI 1497818074
  NPD (past)
• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1679706758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 ODELL AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602631",
            "telephone_number": "423-318-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 ODELL AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602604",
            "telephone_number": "423-318-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Annette Shehan, APN
• Rebecca Shorter
• Adam B Shrewsberry, M.D.
• Donald Ray Sleeter, MD
• Barbara Jean Smith, MSN, RN, FNP-BC,CDE
• Tabetha Ann Sparks, APN
• Rebecca Speight, ATC, LAT
• Dennis U Spjut, PHD
• St Marys OBGYN LLC
• St. Mary'S Cardiology, LLC

• Pharmacist in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Pharmacist in Tennessee

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

Verify at the official NPI Registry.