Blake Smith

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-16611 Issued in MS

Practice address

316 S Gloster St
Tupelo, MS 38801-4748

Phone

(662) 350-6921

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1861080053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 COUNTY ROAD 1000",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014748",
            "telephone_number": "662-350-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-16611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xzavious Smalls
• Hannah Harrison Smallwood, DPT
• Rhonda Smart, MS, LMFT
• Amanda Smith, FNP-C
• Ashley Gwen Smith, SLP
• Carolee Elizabeth Smith, MSSW
• Christopher Smith
• Christopher Richard Smith, LPTA
• Cynthia Ruth Smith, ACNP
• Debra Kaye Smith, MS

• Pharmacist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.