Active NPI
Scott Edward Smart, RPH
- Pharmacist
- Stevensville, MI
National Provider Identifier
1689957656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411294
- Practice address
- 2485 W Glenlord Rd
Stevensville, MI 49127-9557 - Phone
- (269) 429-7044
- Fax
- (269) 429-7065
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302411294 | MI | Primary |
Addresses
Primary practice location
2485 W Glenlord Rd
Stevensville, MI 49127-9557
Mailing address
2485 W Glenlord Rd
Stevensville, MI 49127-9557
Phone (269) 429-7044
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411294 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1689957656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 W GLENLORD RD",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279557",
"telephone_number": "269-429-7044",
"fax_number": "269-429-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 W GLENLORD RD",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279557",
"telephone_number": "269-429-7044",
"fax_number": "269-429-7065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "SCOTT",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.