Active NPI
Bevonnie Monisha Smith, PHARMD
- Pharmacist
- Holly Springs, NC
National Provider Identifier
1720412133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23440
- Practice address
- 9801 Holly Springs Rd
Holly Springs, NC 27540-4623 - Phone
- (919) 303-0834
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 23440 | NC | Primary |
Addresses
Primary practice location
9801 Holly Springs Rd
Holly Springs, NC 27540-4623
Mailing address
9801 Holly Springs Rd
Holly Springs, NC 27540-4623
Phone (919) 303-0834
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23440 | NC | MD | Addiction (Substance Use Disorder) Counselor |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1720412133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 HOLLY SPRINGS RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404623",
"telephone_number": "919-303-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 HOLLY SPRINGS RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404623",
"telephone_number": "919-303-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BEVONNIE",
"middle_name": "MONISHA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.