Heidi Smith

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 29665 Issued in FL

Practice address

4711 Babcock St NE Ste 1
Palm Bay, FL 32905-2805

Phone

(321) 725-8580

NPI assigned

Apr 8, 2010

Last updated

Apr 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1679899132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ACADEMY TER",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 BABCOCK ST NE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052805",
            "telephone_number": "321-725-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 29665",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "2913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SL Glenbrooke LLC (Glenbrooke at Palm Bay)
• Beverly Jean Smith
• Curtis Smith, DO
• Delia A. Smith, M.D.
• Erin Eileen Smith, MA-CCC-SLP
• Judy Ann Smith
• Kyle Austin Smith
• Mary Lou S Smith, N.P.
• Rebecca N Smith
• Sabrina Lynn Smith, RN

• Pharmacist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.