Active NPI
Alyssa Smith, PHARMD
- Pharmacist
- Richmond, VA
National Provider Identifier
1821764671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202219861
- Practice address
- 11500 W Broad St
Richmond, VA 23233-1117 - Phone
- (804) 360-2531
- NPI assigned
- Aug 20, 2021
- Last updated
- Aug 20, 2021
- Sex
- Female
- 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 | 0202219861 | VA | Primary |
Addresses
Primary practice location
11500 W Broad St
Richmond, VA 23233-1117
Mailing address
11500 W Broad St
Richmond, VA 23233-1117
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a | Other | WALGREEN CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219861 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
11500 W Broad St
Richmond, VA 23233
Phone (804) 360-2531
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1821764671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331117",
"telephone_number": "804-360-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALYSSA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "Y",
"affiliationName": "WALGREEN CO",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"address_1": "11500 W Broad St",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "232331117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.