NPIMap

Organization Active NPI

Nicholas L Smith Pharmacy LLC

Doing business as Smith Pharmacy - LTC

  • Long Term Care Pharmacy
  • Little Chute, WI
National Provider Identifier
1780225003
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NICHOLAS L SMITH PHARMACY LLC
Doing business as
Smith Pharmacy - LTC
Practice address
1914 Freedom Rd
Little Chute, WI 54140-1294
Phone
(920) 788-8888
Fax
(920) 788-8883
NPI assigned
Oct 8, 2019
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NICHOLAS L SMITH PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Nicholas L SmithNPI 1467705947
Title
Owner/ Pharm D
Phone
(920) 788-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1914 Freedom Rd
Little Chute, WI 54140-1294

Mailing address

1914 Freedom Rd
Little Chute, WI 54140-1294
Phone (920) 788-8888

Other names 1

  • Smith Pharmacy - LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nicholas L Smith Pharmacy2 organizations share this tax ID, including this one
Part of
Nicholas L Smith Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 Freedom Rd
Ste D
Little Chute, WI 54140
Phone (920) 788-8888

1914 Freedom Rd
Little Chute, WI 54140
Phone (920) 788-8888

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1780225003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 FREEDOM RD",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401294",
            "telephone_number": "920-788-8888",
            "fax_number": "920-788-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 FREEDOM RD",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401294",
            "telephone_number": "920-788-8888",
            "fax_number": "920-788-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS L SMITH PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICHOLAS L SMITH PHARMACY LLC",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PHARM D",
        "authorized_official_telephone_number": "920-788-8888"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Pharmacy - LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Chute, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.