Active NPI
Ivan Smith, RPH
- Pharmacist
- Sugar Mountain, NC
National Provider Identifier
1841598745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21444
- Practice address
- 4059 NC Hwy 105
Rite Aid Pharmacy
Sugar Mountain, NC 28604 - Phone
- (828) 898-8971
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- Sex
- Male
- 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 | 21444 | NC | Primary |
Addresses
Primary practice location
4059 NC Hwy 105
Rite Aid Pharmacy
Sugar Mountain, NC 28604
Mailing address
4059 NC Hwy 105
Rite Aid Pharmacy
Sugar Mountain, NC 28604
Phone (828) 898-8971
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21444 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1841598745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 NC HWY 105",
"address_2": "RITE AID PHARMACY",
"city": "SUGAR MOUNTAIN",
"state": "NC",
"postal_code": "28604",
"telephone_number": "828-898-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4059 NC HWY 105",
"address_2": "RITE AID PHARMACY",
"city": "SUGAR MOUNTAIN",
"state": "NC",
"postal_code": "28604",
"telephone_number": "828-898-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "IVAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.