Smile RX Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SMILE RX PHARMACY

Practice address

490 Ih 10 N Ste 400
Beaumont, TX 77702-1819

Phone

(409) 554-8168

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Devinder Shaw

Title

Owner

Phone

(845) 807-4157

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1811593791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 IH 10 N STE 400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021819",
            "telephone_number": "409-554-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 IH 10 N STE 400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021819",
            "telephone_number": "409-554-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DEVINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-807-4157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD PHARMACY LICENSE",
            "identifier": "33536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Leonard Slayton Jr., DO
• Sleep Labs of Texas Inc
• Sleep Safe LLC
• Small Smiles of Beaumont, PC
• Jason Michael Smalley, MD
• Smith & Smith, PLLC
• Roxanne Smith-Bisong
• Smith-Hayes Optical Service, Inc
• Charlotte Stevens Smith, NP
• Cheryl Smith, NP-C

• Community/Retail Pharmacy in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.