Individual provider Active NPI

Zachary Judson Smith

  • Pharmacist
  • Stuttgart, AR
National Provider Identifier
1710319439
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD12291 Issued in AR
Practice address
1515 N Medical Dr
Stuttgart, AR 72160-3284
Phone
(870) 830-5852
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD12291 AR Primary

Addresses

Primary practice location

1515 N Medical Dr
Stuttgart, AR 72160-3284

Mailing address

1515 N Medical Dr
Stuttgart, AR 72160-3284

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

LicenseStateTypeSpecialty
PD12291ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Pharmacy CurrentSince Jun 16, 2024 Accepting new patients
Professional Pharmacy Pharmacist Current Accepting new patients

Locations

1515 N Medical Dr
Stuttgart, AR 72160
Phone (870) 673-1741

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, 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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1710319439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N MEDICAL DR",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N MEDICAL DR",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603284",
            "telephone_number": "870-830-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "middle_name": "JUDSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.