Active NPI
Jared Smedley
- Pharmacist
- Odessa, TX
National Provider Identifier
1912220393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46470
- Practice address
- 1305 W University Blvd
Odessa, TX 79764-7121 - Phone
- (432) 580-0166
- NPI assigned
- Mar 12, 2010
- Last updated
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46470 | TX | Primary |
Addresses
Primary practice location
1305 W University Blvd
Odessa, TX 79764-7121
Mailing address
6401 Eastridge Rd
Apt 1012
Odessa, TX 79762-8431
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1912220393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 EASTRIDGE RD",
"address_2": "APT 1012",
"city": "ODESSA",
"state": "TX",
"postal_code": "797628431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797647121",
"telephone_number": "432-580-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEDLEY",
"first_name": "JARED",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-12",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.