Active NPI
Kimberly D. Smith
- Pharmacist
- N Charleston, SC
National Provider Identifier
1962654541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 008001
- Practice address
- 3725 Rivers Ave
Suite 2
N Charleston, SC 29405-7038 - Phone
- (843) 745-4124
- NPI assigned
- Oct 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 008001 | SC | Primary |
Addresses
Primary practice location
3725 Rivers Ave
Suite 2
N Charleston, SC 29405-7038
Mailing address
3725 Rivers Ave
Suite 2
N Charleston, SC 29405-7038
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008001 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1962654541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 RIVERS AVE",
"address_2": "SUITE 2",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294057038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 RIVERS AVE",
"address_2": "SUITE 2",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294057038",
"telephone_number": "843-745-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "008001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.