George Smith, R.PH.
Individual provider Active NPI Pharmacist · Gilbert, WV
NPI 1831153709 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1831153709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4562 (WV)
- Practice address
- 761 L.J. Harless Drive
(Gilbert Pharmacy)
Gilbert, WV 25621-0430 - Phone
- (304) 664-6337
- Fax
- (304) 664-3904
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4562 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilbert Pharmacy, Inc. | Pharmacist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4562 | WV | Yes |
Addresses
Primary practice location
761 L.J. Harless Drive
(Gilbert Pharmacy)
Gilbert, WV 25621-0430
Mailing address
P.O. Box 430 761 L.J. Harless Drive
(Gilbert Pharmacy)
Gilbert, WV 25621-0430
Phone (304) 664-6337
Other providers in Gilbert, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. 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.