Active NPI
Edward James Smith Jr., PHARMD, DP-C
- Pharmacist
- Bay City, MI
National Provider Identifier
1841630282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034085
- Practice address
- 1009 Washington Ave
Bay City, MI 48708-5705 - Phone
- (989) 928-3566
- Fax
- (989) 391-9596
- NPI assigned
- Jun 30, 2013
- Last updated
- Jul 6, 2023
- 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 | 5302034085 | MI | Primary |
Addresses
Primary practice location
1009 Washington Ave
Bay City, MI 48708-5705
Mailing address
400 Ireland St
Auburn, MI 48611-9307
Phone (989) 846-4508
Other practice location 1
211 N Shiawassee St Ste A
Corunna, MI 48817-1444
Phone (989) 928-3566
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 |
|---|---|---|---|
| 5302034085 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Recovery Pathways, LLC | Past | Accepting new patients | |
| Recovery Pathways, LLC | Past | Accepting new patients |
Interoperability endpoints
- recoverypathways.edsmith@146773.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Bay City, MI
- NPI 1720314008
-
- Medical Specialty Clinic/Center
- Corunna, MI
- NPI 1780362350
-
dba Rite Aid Pharmacy 02549
- Community/Retail Pharmacy
- Standish, MI
- NPI 1376652826
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1841630282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 IRELAND ST",
"city": "AUBURN",
"state": "MI",
"postal_code": "486119307",
"telephone_number": "989-846-4508",
"fax_number": "989-846-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 WASHINGTON AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487085705",
"telephone_number": "989-928-3566",
"fax_number": "989-391-9596"
}
],
"practiceLocations": [
{
"address_1": "211 N Shiawassee St Ste A",
"address_purpose": "LOCATION",
"city": "Corunna",
"state": "MI",
"postal_code": "488171444",
"country_code": "US",
"telephone_number": "989-928-3566",
"fax_number": "989-391-9596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "EDWARD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD, DP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-30",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.