Kevin Michael Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

36768 Issued in TN

Practice address

1903 Brookside Drive
Kingsport, TN 37660-4617

Phone

(423) 390-1064

Fax

(423) 390-1123

NPI assigned

Aug 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kevin Michael Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smith Pharmacy & Compounding, LLC

  • Community/Retail Pharmacy
  • Kingsport, TN
  • NPI 1548951213
  NPD
• Mac'S Medicine Mart, Inc

  • Community/Retail Pharmacy
  • Kingsport, TN
  • NPI 1760580609
  NPD (past)
• Mac'S Medicine Mart, Inc

  • Prosthetic/Orthotic Supplier
  • Kingsport, TN
  • NPI 1841761947
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1972851095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BROOKSIDE DRIVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376601301",
            "telephone_number": "423-390-1064",
            "fax_number": "423-390-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BROOKSIDE DRIVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604617",
            "telephone_number": "423-390-1064",
            "fax_number": "423-390-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "SMITH",
            "middle_name": "MICHAEL",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Edwards Smith, PT
• John Alan Smith, D.D.S.,P.C.
• Jonathan Lee Smith, DPT
• Joshua Dale Smith, FNP
• Kenneth Wayne Smith, MD
• Melissa Dawn Smith, FNP
• Michelle Smith, FNP
• Nancy Smith, NP-C
• Phinetta Kay Smith, BS
• Ronald Steven Smith, MD

• Pharmacist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.