Individual provider Active NPI

Roxanne Rutledge Smith, R.PH.

  • Pharmacist
  • Adrian, MI
National Provider Identifier
1912140898
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03112413 Issued in OH
Practice address
1200 S Main St
Suite a
Adrian, MI 49221-4366
Phone
(517) 263-0603
Fax
(517) 266-9272
NPI assigned
Apr 8, 2009
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03112413 OH Primary
Pharmacist 183500000X 5302030498 MI

Addresses

Primary practice location

1200 S Main St
Suite a
Adrian, MI 49221-4366

Mailing address

2406 Manoa LN N
Toledo, OH 43615-2432
Phone (419) 842-0882

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
5302030498MIMDPharmacist
03112413OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1912140898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 MANOA LN N",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152432",
            "telephone_number": "419-842-0882",
            "fax_number": "419-842-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST",
            "address_2": "SUITE A",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214366",
            "telephone_number": "517-263-0603",
            "fax_number": "517-266-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE SMITH",
        "first_name": "ROXANNE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03112413",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.