Katherine Marie Smith, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

017338 Issued in GA

Practice address

1597 Hogansville Rd
Lagrange, GA 30241-1423

Phone

(706) 242-4902

Fax

(706) 242-9211

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia CVS Pharmacy L.L.C

  dba CVS Pharmacy #11017

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1801499926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FORD DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302408554",
            "telephone_number": "706-594-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 HOGANSVILLE RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302411423",
            "telephone_number": "706-242-4902",
            "fax_number": "706-242-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "017338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany E Smith, APC
• Christopher Shannon Smith, LPC
• Claire Suzanne Smith, RN
• Ericia Smith, CPB, CCS, A.S.T
• John Connor Smith, M.D.
• Kelsey Hammond Smith, CNP
• Laura Leigh Smith, PT
• Michael Scott Smith, PSY
• Natalie R Smith, PHARMD
• Shaquavia Kiana Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.