NPIMap

Individual provider Active NPI

Alisa B Smith, RPH

  • Pharmacist
  • Bude, MS
National Provider Identifier
1770925604
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-08383 Issued in MS
Practice address
100 Main St N
Bude, MS 39630-7117
Phone
(601) 384-2383
Fax
(601) 384-1650
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-08383 MS Primary

Addresses

Primary practice location

100 Main St N
Bude, MS 39630-7117

Mailing address

PO Box 129
Bude, MS 39630-0129
Phone (601) 384-2383

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

LicenseStateTypeSpecialty
E-08383MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Speigha Health, Incorporated Current Accepting new patients
Speigha Health,Inc. Current Accepting new patients

Locations

100 Main St N
Bude, MS 39630
Phone (601) 384-2383

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1770925604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUDE",
            "state": "MS",
            "postal_code": "396300129",
            "telephone_number": "601-384-2383",
            "fax_number": "601-384-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST N",
            "city": "BUDE",
            "state": "MS",
            "postal_code": "396307117",
            "telephone_number": "601-384-2383",
            "fax_number": "601-384-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALISA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-08383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bude, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.