Nicholas L Smith Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9226-42 Issued in WI

Legal business name

NICHOLAS L SMITH PHARMACY LLC

Doing business as

Smith Pharmacy

Practice address

1914 Freedom Rd
Little Chute, WI 54140-1294

Phone

(920) 788-8888

Fax

(920) 788-8883

NPI assigned

Aug 15, 2013

Last updated

Jan 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Lee Smith, PHARMDNPI 1467705947

Title

Owner / Pharmacist

Phone

(920) 788-8888

Specialties & licenses 3

Addresses

Other names 1

• Smith Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI3 enrollments

Enrollment records 3

Tax ID family

Nicholas L Smith Pharmacy2 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.

• Nicholas L Smith Pharmacy LLC

  dba Smith Pharmacy - LTC

  • Long Term Care Pharmacy
  • Little Chute, WI
  • NPI 1780225003
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nicholas L Smith Pharmacy LLC

  dba Smith Pharmacy - LTC

  • Long Term Care Pharmacy
  • Little Chute, WI
  • NPI 1780225003
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas L Smith, PHARMD

  • Pharmacist
  • Little Chute, WI
  • NPI 1467705947
  NPD Authorized official
• Chance Eiting

  • Pharmacist
  • Little Chute, WI
  • NPI 1184535056
  NPD (past)
• Madelyn Paige Heikkila, PHARMD

  • Pharmacist
  • Little Chute, WI
  • NPI 1548168024
  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1851724637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 FREEDOM RD",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401294",
            "telephone_number": "920-788-8888",
            "fax_number": "920-788-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 FREEDOM RD",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401294",
            "telephone_number": "920-788-8888",
            "fax_number": "920-788-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS L SMITH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "920-788-8888",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9226-42",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WI",
            "license": "9226-42",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9226-42",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy McMahon, LCSW, SAC-IT
• Jack R Meyer, MD
• Gary A Miller, R.PH.
• Mindful Matters LLC
• Nicholas L Smith Pharmacy LLC (Smith Pharmacy - LTC)
• NSH Little Chute LLC (Little Chute Health Services)
• Nuwave Counseling LLC
• Optometric Services, S.C.
• Parkside Care Center LLC (D/B/a Atrium Post Acute Care of Little Chute)
• Jessica L Peterson, MD

• Community/Retail Pharmacy in Little Chute, WI
• Providers in Little Chute, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.