Active NPI
Lloyd D Smith, RPH
- Pharmacist
- Union Gap, WA
National Provider Identifier
1790059558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009246
- Practice address
- 2530 Rudkin Rd
Union Gap, WA 98903-1632 - Phone
- (509) 248-9567
- Fax
- (509) 453-0079
- NPI assigned
- Feb 25, 2012
- Last updated
- Feb 25, 2012
- 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 | PH00009246 | WA | Primary |
Addresses
Primary practice location
2530 Rudkin Rd
Union Gap, WA 98903-1632
Mailing address
2530 Rudkin Rd
Union Gap, WA 98903-1632
Phone (509) 248-9567
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 |
|---|---|---|---|
| PH00009246 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330128000000",
"number": "1790059558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 RUDKIN RD",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031632",
"telephone_number": "509-248-9567",
"fax_number": "509-453-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 RUDKIN RD",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031632",
"telephone_number": "509-248-9567",
"fax_number": "509-453-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LLOYD",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-25",
"last_updated": "2012-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union Gap, WA
- Shopko Stores Operating Co. LLC (ShopKo Optical 073)
- Shoptikal LLC (Shopko Optical 4073)
- Betty Simmons, CCC-SLP
- Melissa Sixberry, RN
- Keisha Smith
- Robin K Spooner, SLP
- Sunnyside Community Hospital Association (Astria Health Center)
- Sunnyside Community Hospital Association (Valley Medi-Center)
- Jennifer T Thayer, L.M.P
- Matthew James Thomas, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.