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NICHOLAS L SMITH PHARMACY LLC NPI 1851724637


NPI Information

NPI: 1851724637
Provider Name: NICHOLAS L SMITH PHARMACY LLC

Doing Business As: SMITH PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1800 FREEDOM RD STE D
LITTLE CHUTE, WI
ZIP 54140
Phone: (920) 788-8888
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NICHOLAS L SMITH PHARMACY LLC is a community/retail pharmacy pharmacy in Little Chute, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NICHOLAS L SMITH PHARMACY LLC NPI is 1851724637. The provider is registered as an organization entity type.
The provider Is Doing Business As Smith Pharmacy.

The provider's business location address is:

1800 FREEDOM RD STE D
LITTLE CHUTE, WI
ZIP 54140-200
Phone: (920) 788-8888
Fax: (920) 788-8883

The provider's authorized official is Nicholas Lee Smith .
The authorized official title is Owner / Pharmacist and has the following contact phone number (920) 788-8888.

The enumeration date for this NPI number is 8/15/2013 and was last updated on 1/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding Pharmacy9226-42WISCONSINNo
23336L0003XPharmacyLong Term Care Pharmacy9226-42WISCONSINNo
33336C0003XPharmacyCommunity/Retail Pharmacy9226-42WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15133905OTHERNCPDP
29226-42OTHERWISCONSINWISCONSIN STATE LICENSE
31851724637MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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