Mark Smith, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

050389 Issued in NY

Practice address

436 Fort Washington Ave
#3E
New York, NY 10033-3507

Phone

(646) 258-9227

NPI assigned

Jun 6, 2010

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1275782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1689994238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 FORT WASHINGTON AVE",
            "address_2": "#3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333507",
            "telephone_number": "646-258-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 FORT WASHINGTON AVE",
            "address_2": "#3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333507",
            "telephone_number": "646-258-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-06",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Elizabeth Winfield Smith
• Marguerite Tarrant Smith, L.C.S.W.
• Marijo Smith, RN
• Marissa Ann Smith, LAC
• Mark Smith
• Mark Llewellyn Smith, L.C.S.W.
• Martez Dexter Ray Smith, PHD, LMSW
• Mary Ann Smith
• Matthew Benjamin Smith, M.D.
• Matthew Kirk Smith, MD

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.