Dennis Lee Smith Jr., RPH
Individual provider Active NPI Pharmacist · Numine, PA
NPI 1861978579 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1861978579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP039213L (PA)
- Practice address
- 4075 Third St
Numine, PA 16244 - Phone
- (724) 783-7341
- Fax
- (724) 783-7510
- NPI assigned
- Jul 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP039213L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klingensmith Drug Inc | Past |
Accepting new patients | |
| Klingensmith Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP039213L | PA | Yes |
Addresses
Primary practice location
4075 Third St
Numine, PA 16244
Mailing address
394 Smithland Rd
New Bethlehem, PA 16242-2656
Phone (814) 275-3185
Other providers in Numine, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.