Individual provider Active NPI

Michael Smart, PHARMD

  • Pharmacist
  • Shawnee, KS
National Provider Identifier
1811677750
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-107268 Issued in KS
Practice address
5455 Roberts St
Shawnee, KS 66226-3937
Phone
(913) 667-1728
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2019031422 MO
Pharmacist 183500000X 1-107268 KS Primary

Addresses

Primary practice location

5455 Roberts St
Shawnee, KS 66226-3937

Mailing address

3310 W 74TH Ter
Prairie Village, KS 66208-3241
Phone (913) 660-6035

Other practice location 1

13000 S US Highway 71
Grandview, MO 64030-2515
Phone (816) 765-5949

Other identifiers 1

IdentifierTypeStateIssuer
1176234OtherNATIONAL ASSOCIATION OF BOARDS OF PHARMACY

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1-107268KSMDPharmacist
2019031422MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jul 31, 2023 Accepting new patients
Walgreen Co PastSince Jul 31, 2023 Accepting new patients

Locations

5455 Roberts St
Shawnee, KS 66226
Phone (913) 660-5006

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1811677750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 W 74TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083241",
            "telephone_number": "913-660-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937",
            "telephone_number": "913-667-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 S US Highway 71",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640302515",
            "country_code": "US",
            "telephone_number": "816-765-5949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019031422",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-107268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACY",
            "identifier": "1176234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.