Jairus James Matthew Smith, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.023262 Issued in LA

Practice address

4097 Ryan St
Lake Charles, LA 70605-2819

Phone

(337) 474-0434

NPI assigned

Jan 29, 2020

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #10508

  • Pharmacy
  • Lake Charles, LA
  • NPI 1477675767
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1710518634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 COUNTRY CLUB RD APT 1315",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056050",
            "telephone_number": "337-578-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052819",
            "telephone_number": "337-474-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAIRUS",
        "middle_name": "JAMES MATTHEW",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deleschia Jeanette Smith
• Derrian Smith, PHARMD
• Gwendolyn Marie Smith, LCSW
• Hali Smith, DPT
• Hayley Brooke Smith
• Jennifer Stewart Smith, OD
• Jerrold Walker Smith, RPH
• Lauren Lebert Smith, PHARMD
• Leatha Michelle Smith, PA
• Marlena Smith

• Pharmacist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.