Active NPI
Allan Ticsay Smith, RPH
- Ambulatory Care Pharmacist
- Alexandria, LA
National Provider Identifier
1992307409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PST.021571
- Practice address
- 2050 N Mall Dr
Alexandria, LA 71301-3619 - Phone
- (318) 445-4308
- Fax
- (318) 445-0275
- NPI assigned
- Nov 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021014A | IN | |
| Ambulatory Care Pharmacist | 1835P2201X | PST.021571 | LA | Primary |
Addresses
Primary practice location
2050 N Mall Dr
Alexandria, LA 71301-3619
Mailing address
113 North View Dr
Pineville, LA 71360
Phone (260) 387-9281
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021014A | IN | MD | Pharmacist |
| PST.021571 | LA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1992307409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 NORTH VIEW DR",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "260-387-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 N MALL DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013619",
"telephone_number": "318-445-4308",
"fax_number": "318-445-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALLAN",
"middle_name": "TICSAY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021014A",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "LA",
"license": "PST.021571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.