Jennifer Marie Smith, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0005924 Issued in WV

Practice address

200 Raleigh Ave
Beckley, WV 25801-0002

Phone

(304) 461-1200

Fax

(304) 461-1201

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jennifer Marie Christiansen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1891864716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RALEIGH AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258010002",
            "telephone_number": "304-461-1200",
            "fax_number": "304-461-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RALEIGH AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258010002",
            "telephone_number": "304-461-1200",
            "fax_number": "304-461-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Raleigh Mall",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012208",
            "country_code": "US",
            "telephone_number": "304-255-0551",
            "fax_number": "304-256-0682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "0005924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5000310",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CHRISTIANSEN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isiah Smith I
• James A Smith Jr.
• Janae Smith
• Jason Phillip Smith, MSW
• Jeanette Smith, BS PHARMACY
• Johnathan Eugene Smith
• Josiah Clair Preston Smith, MSW, LGSW
• Kassandra Smith
• Kelsey Delana Smith, LGSW
• Kenyata Smith

• Pharmacist in Beckley, WV
• Providers in Beckley, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.