Individual provider Active NPI

Carl Jonathan Smith, PHARMD

  • Pharmacist
  • Gainesville, FL
National Provider Identifier
1982044996
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS50410 Issued in FL
Practice address
2205 NW 40TH Ter Ste B
Gainesville, FL 32605-3500
Phone
(352) 375-1999
Fax
(352) 375-9922
NPI assigned
Jul 5, 2013
Last updated
Jul 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS50410 FL Primary

Addresses

Primary practice location

2205 NW 40TH Ter Ste B
Gainesville, FL 32605-3500

Mailing address

2205 NW 40TH Ter Ste B
Gainesville, FL 32605-3500
Phone (352) 375-1999

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

LicenseStateTypeSpecialty
PS50410FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1982044996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NW 40TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053500",
            "telephone_number": "352-375-1999",
            "fax_number": "352-375-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NW 40TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053500",
            "telephone_number": "352-375-1999",
            "fax_number": "352-375-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.