Active NPI
Lou Massimo Smaldino, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bend, OR
National Provider Identifier
1922329309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0013459
- Practice address
- 320 SW Century Dr
Bend, OR 97702-3037 - Phone
- (541) 389-7184
- Fax
- (541) 389-7282
- NPI assigned
- Jun 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH32459 | CA | |
| Pharmacist | 183500000X | RPH 0013459 | OR | |
| Pharmacist | 183500000X | 07265 | NV | |
| Pharmacist | 183500000X | PH 00011134 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0013459 | OR | Primary |
Addresses
Primary practice location
320 SW Century Dr
Bend, OR 97702-3037
Mailing address
320 SW Century Dr
Bend, OR 97702-3037
Phone (541) 389-7184
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH32459 | CA | MD | Pharmacist |
| 07265 | NV | MD | Pharmacist |
| RPH 0013459 | OR | MD | Pharmacist |
| PH 00011134 | WA | MD | Pharmacist |
| RPH-0013459 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1922329309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SW CENTURY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977023037",
"telephone_number": "541-389-7184",
"fax_number": "541-389-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SW CENTURY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977023037",
"telephone_number": "541-389-7184",
"fax_number": "541-389-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALDINO",
"first_name": "LOU",
"middle_name": "MASSIMO",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-19",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH32459",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH 0013459",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "07265",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00011134",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0013459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.