Active NPI
Steven Scott Smith, RPH.
- Pharmacist
- Collinsville, IL
National Provider Identifier
1730357906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1999141838
- Practice address
- 29 Hillsborough Dr
Collinsville, IL 62234-6309 - Phone
- (618) 345-5808
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- 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 | 1999141838 | MO | Primary |
Addresses
Primary practice location
29 Hillsborough Dr
Collinsville, IL 62234-6309
Mailing address
3168 Riverport Tech Center Dr
Maryland Heights, MO 63043-4825
Phone (800) 332-5455
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 |
|---|---|---|---|
| 1999141838 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Scripts Specialty Distribution Services, Inc. | 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.
-
- Pharmacy
- Saint Louis, MO
- NPI 1467534826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1730357906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3168 RIVERPORT TECH CENTER DR",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630434825",
"telephone_number": "800-332-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HILLSBOROUGH DR",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622346309",
"telephone_number": "618-345-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEVEN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "1999141838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.