Marla Smoot
Individual provider Active NPI Pharmacist · Crittenden, KY
NPI 1992395800 · NPPES record last updated Jan 25, 2021
Key facts
- NPI
- 1992395800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010465 (KY)
- Practice address
- 700 Violet Rd
Crittenden, KY 41030-1101 - Phone
- (859) 428-0900
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010465 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010465 | KY | Yes |
Addresses
Primary practice location
700 Violet Rd
Crittenden, KY 41030-1101
Mailing address
700 Violet Rd
Crittenden, KY 41030-1101
Other providers in Crittenden, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.