Individual provider Active NPI

Arthur R. Smith, R.PH.

  • Pharmacist
  • Schenectady, NY
National Provider Identifier
1912181355
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026021 Issued in NY
Practice address
428 Balltown Rd
Target Pharmacy
Schenectady, NY 12304-2245
Phone
(518) 346-8670
Fax
(518) 346-8670
NPI assigned
Dec 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 026021 NY Primary

Addresses

Primary practice location

428 Balltown Rd
Target Pharmacy
Schenectady, NY 12304-2245

Mailing address

29 Lea Dr
Delanson, NY 12053-3551
Phone (518) 669-2832

Other identifiers 1

IdentifierTypeStateIssuer
0292-1924MedicaidNY

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
026021NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1912181355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LEA DR",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120533551",
            "telephone_number": "518-669-2832",
            "fax_number": "518-875-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 BALLTOWN RD",
            "address_2": "TARGET PHARMACY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042245",
            "telephone_number": "518-346-8670",
            "fax_number": "518-346-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ARTHUR",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292-1924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.