Organization Active NPI

Smotherman Inc

  • Community/Retail Pharmacy
  • Olla, LA
National Provider Identifier
1851456982
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY001740IR Issued in LA
Legal business name
SMOTHERMAN INC
Practice address
2832 Front St
Olla, LA 71465
Phone
(318) 495-5155
Fax
(318) 495-5635
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Rickey Smotherman, RPHNPI 1306117973
Title
Owner
Phone
(318) 495-5155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY001740IR LA Primary

Addresses

Primary practice location

2832 Front St
Olla, LA 71465

Mailing address

PO Box 699
Olla, LA 71465-0699
Phone (318) 495-5155

Other identifiers 2

IdentifierTypeStateIssuer
2031153OtherPK
1254045MedicaidLA

Other names 1

  • R & K DRUGS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
R K Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2832 Front St
Olla, LA 71465
Phone (318) 495-5155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1851456982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714650699",
            "telephone_number": "318-495-5155",
            "fax_number": "318-495-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 FRONT ST",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-5155",
            "fax_number": "318-495-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOTHERMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "SMOTHERMAN",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-495-5155",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY001740IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254045",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R & K DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olla, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.