Active NPI
Susan Odneal Smith, RPH
- Pharmacist
- Overland Park, KS
National Provider Identifier
1881042133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-10873
- Practice address
- 11100 Nall Ave
Overland Park, KS 66211-1205 - Phone
- (913) 777-3904
- Fax
- (866) 930-4147
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-10873 | KS | Primary |
| Pharmacist | 183500000X | 21051 | MD | |
| Pharmacist | 183500000X | RP0008549 | WV | |
| Pharmacist | 183500000X | 302044292 | MI | |
| Pharmacist | 183500000X | 16775 | OK | |
| Pharmacist | 183500000X | S017684 | AZ | |
| Pharmacist | 183500000X | 41807 | MO | |
| Pharmacist | 183500000X | 202209011 | VA | |
| Pharmacist | 183500000X | 061582-1 | NY | |
| Pharmacist | 183500000X | T-12126 | MS | |
| Pharmacist | 183500000X | 17652 | LA | |
| Pharmacist | 183500000X | 18232 | AL | |
| Pharmacist | 183500000X | PH236530 | MA | |
| Pharmacist | 183500000X | 013095 | KY | |
| Pharmacist | 183500000X | RPH-0011616 | OR |
Addresses
Primary practice location
11100 Nall Ave
Overland Park, KS 66211-1205
Mailing address
11100 Nall Ave
Overland Park, KS 66211-1205
Phone (913) 777-3904
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17652 | LA | MD | Social Worker |
| 18232 | AL | MD | Pharmacist |
| S017684 | AZ | MD | Pharmacist |
| 1-10873 | KS | MD | Pharmacist |
| 013095 | KY | MD | Pharmacist |
| PH236530 | MA | MD | Pharmacist |
| 21051 | MD | MD | Pharmacist |
| 302044292 | MI | MD | Pharmacist |
| 41807 | MO | MD | Pharmacist |
| T-12126 | MS | MD | Pharmacist |
| 061582-1 | NY | MD | Pharmacist |
| 16775 | OK | MD | Pharmacist |
| RPH-0011616 | OR | MD | Pharmacist |
| 202209011 | VA | MD | Pharmacist |
| RP0008549 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1881042133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 NALL AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111205",
"telephone_number": "913-777-3904",
"fax_number": "866-930-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 NALL AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111205",
"telephone_number": "913-777-3904",
"fax_number": "866-930-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"middle_name": "ODNEAL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-10873",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21051",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008549",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "302044292",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16775",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017684",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "41807",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "202209011",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061582-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-12126",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17652",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18232",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236530",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013095",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0011616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.