Tony J Smith, PHARMD.
Individual provider Active NPI Pharmacist · Beaver, UT
NPI 1821339128 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1821339128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3089284-1701 (UT)
- Practice address
- 70 S 100 W
Beaver, UT 84713-0825 - Phone
- (435) 421-1835
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3089284-1701 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3089284-1701 | UT | Yes |
Addresses
Primary practice location
70 S 100 W
Beaver, UT 84713-0825
Mailing address
PO Box 825
Beaver, UT 84713-0825
Phone (435) 421-1835
Other providers in Beaver, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.