Individual provider Active NPI

Lauren Nichole Smiddy

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1861735201
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2012028250 Issued in MO
Practice address
8420 N Madison Ave
T-1177
Kansas City, MO 64155-2777
Phone
(816) 436-8711
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2012028250 MO Primary
Pharmacist 183500000X 1-15398 KS

Addresses

Primary practice location

8420 N Madison Ave
T-1177
Kansas City, MO 64155-2777

Mailing address

8420 N Madison Ave
T-1177
Kansas City, MO 64155-2777

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

State licenses

LicenseStateTypeSpecialty
1-15398KSMDPharmacist
2012028250MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1861735201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 N MADISON AVE",
            "address_2": "T-1177",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 N MADISON AVE",
            "address_2": "T-1177",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552777",
            "telephone_number": "816-436-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDDY",
        "first_name": "LAUREN",
        "middle_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2012028250",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.