Kristofer Charles Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH025199 Issued in GA

Practice address

3783 Tree Bark TRL
Decatur, GA 30034-2120

Phone

(404) 441-7802

NPI assigned

Oct 19, 2010

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1780994178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 TREE BARK TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342120",
            "telephone_number": "404-441-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 TREE BARK TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342120",
            "telephone_number": "404-441-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTOFER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith
• Joseph Lemonte Smith Jr., LCSW
• Joyce Smith, RN
• Katharine Smith
• Kathleen Jeanne Smith, MD
• Leevahn Smith
• Lisa Anyan Smith, PH. D.
• Loreal Ashley Smith
• Marcus Smith
• Marla E Smith, MPT

• Pharmacist in Decatur, GA
• Providers in Decatur, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.