Individual provider Active NPI

William Allen Smith

  • Pharmacist
  • Hollywood, FL
National Provider Identifier
1992949994
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS46180 Issued in FL
Practice address
5892 Stirling Rd Ste 2
Hollywood, FL 33021-1541
Phone
(954) 639-7030
Fax
(954) 613-3901
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02685000 NJ
Pharmacist 183500000X PH22157 MA
Pharmacist 183500000X PS46180 FL Primary

Addresses

Primary practice location

5892 Stirling Rd Ste 2
Hollywood, FL 33021-1541

Mailing address

2803 N Oakland Forest Dr Apt 202
Oakland Park, FL 33309-6434
Phone (856) 912-7335

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

LicenseStateTypeSpecialty
PS46180FLMDPharmacist
PH22157MAMDPharmacist
28RI02685000NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Meds of Florida LLC PastSince Oct 20, 2019 Accepting new patients
Direct Meds of Florida 2 Inc PastSince Apr 28, 2024 Accepting new patients
Express Aid Pharmacy Services LLC PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1992949994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 N OAKLAND FOREST DR APT 202",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333096434",
            "telephone_number": "856-912-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5892 STIRLING RD STE 2",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211541",
            "telephone_number": "954-639-7030",
            "fax_number": "954-613-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02685000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH22157",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.