Brian Wayne Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD09369 Issued in AR

Practice address

406 Highway 425 S
Monticello, AR 71655-4614

Phone

(870) 460-5201

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Southeast Arkansas Pharmacies LLC

  • Community/Retail Pharmacy
  • Monticello, AR
  • NPI 1790116523
  NPD Authorized official
• Southeast Arkansas Pharmacies LLC

  • Long Term Care Pharmacy
  • Monticello, AR
  • NPI 1871128306
  NPD Authorized official

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1841548765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 QUAIL RUN",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716553889",
            "telephone_number": "870-460-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554614",
            "telephone_number": "870-460-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Simmons
• Sylvia Simon, M.D.
• Timothy M Simon, M.D.
• Elaine M Simpson, QBHP
• Cheyenne Sizemore
• Dadrian Smith
• Emily L Walker Smith
• Jamie Smith
• Jasmine N Smith
• Joshua Jackson Smith

• Pharmacist in Monticello, AR
• Providers in Monticello, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.