Active NPI
Zachary Smith
- Pharmacist
- Summersville, WV
National Provider Identifier
1992363253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0010880
- Practice address
- 131 Wellness Dr
Summersville, WV 26651-5402 - Phone
- (304) 658-7039
- Fax
- (304) 596-0915
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 | RP0010880 | WV | Primary |
Addresses
Primary practice location
131 Wellness Dr
Summersville, WV 26651-5402
Mailing address
120 Bragg Hollow Rd
Fayetteville, WV 25840-5368
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 |
|---|---|---|---|
| RP0010880 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1992363253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BRAGG HOLLOW RD",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258405368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 WELLNESS DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266515402",
"telephone_number": "304-658-7039",
"fax_number": "304-596-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.