Individual provider Active NPI

Marcia Loetta Smith-Anderson, R.PH

  • Pharmacist
  • Houston, TX
National Provider Identifier
1891022166
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38715 Issued in TX
Practice address
12610 Easten St
Houston, TX 77014-2876
Phone
(713) 530-1317
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38715 TX Primary

Addresses

Primary practice location

12610 Easten St
Houston, TX 77014-2876

Mailing address

12610 Easten St
Houston, TX 77014-2876
Phone (281) 866-9640

Other identifiers 3

IdentifierTypeStateIssuer
38715OtherTXTEXAS STATE BOARD OF PHARMACY LICENSE
1891022166OtherTXNPI
03796246OtherTEXAS DRIVERS LICENSE NUMBER

Other names 1

  • Marcia Loetta Smith Other name

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

LicenseStateTypeSpecialty
38715TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aloma Healthcare, Inc. CurrentSince Jul 17, 2022 Accepting new patients
Keystone Pharmacy CurrentSince Dec 1, 2020 Accepting new patients
Aloma Healthcare, Inc. CurrentSince Jul 25, 2021 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

6805 NE Loop 820
Ste 410
North Richland Hills, TX 76180

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1891022166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 EASTEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142876",
            "telephone_number": "281-866-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 EASTEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142876",
            "telephone_number": "713-530-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-ANDERSON",
        "first_name": "MARCIA",
        "middle_name": "LOETTA",
        "name_prefix": "Mrs.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE",
            "identifier": "38715",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891022166",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DRIVERS LICENSE NUMBER",
            "identifier": "03796246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "SMITH",
            "middle_name": "LOETTA",
            "credential": "MAIDEN NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.