MALCOLM SMITH (NPI# 1407219751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407219751 |
| Entity Type | Individual |
| Full Name | MALCOLM SMITH |
| Credential | PHARMD |
| Practice Address |
1501 S Range Line Rd Joplin MO 64804-3230 |
| Practice Telephone | 4176242222 |
| Practice Fax Number | 4176242239 |
| Mailing Telephone | 4176242222 |
| Mailing Fax Number | 4176242239 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 44129 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732562 | Malcolm Derek Smith | Podiatrist | 1700 N 5th St, Ponca City, OK 74601-2762 | 2006-07-17 |
| 1629536214 | Malcolm C Smith | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-03-04 |
| 1932579927 | Malcolm Smith | Pediatrics | 9609 Medical Center Dr, Rm 5-w414, Msc 9737, Bethesda, MD 20892-0001 | 2015-10-02 |
| 1538336334 | Malcolm S Smith | Naturopath | 4225 Ne Tillamook St, Portland, OR 97213-1313 | 2008-05-12 |
| 1255419339 | Malcolm S. Smith | Internal Medicine | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2006-11-02 |
| 1962422063 | Malcolm Iain Smith | Internal Medicine | 200 Medical Plaza, #365,530,420,120, Los Angeles, CA 90095 | 2006-07-20 |
| 1174525174 | Malcolm A Smith | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-08-10 |
| Street Address |
1501 S RANGE LINE RD |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427075845 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2006-07-16 |
| 1205328804 | James Davis | Pharmacist | 1501 S Range Line Rd, Joplin, MO 64804-3263 | 2018-05-31 |
| 1861855223 | Christopher Brown | Pharmacist | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2016-04-03 |
| 1558731414 | James Neal Jr. | Pharmacist | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2015-10-03 |
| 1194192039 | Xaisourine Ning Boupharath | Pharmacist | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2015-08-26 |
| 1396826558 | Wal-mart Stores East, Lp | Technician/Technologist | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2006-10-17 |
| 1548351034 | David Glenn Grant | Optometrist | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073052981 | Ward Kirk Seale | Pharmacist | 3302 N Brownell Ave, Joplin, MO 64801-1444 | 2017-02-13 |
| 1801238191 | Andrew James Aumann | Pharmacist | 2335 W 26th St, Joplin, MO 64804-1486 | 2013-07-27 |
| 1508127168 | Susan Margaret Nel | Pharmacist | 1001 S Range Line Rd, Joplin, MO 64801-5585 | 2012-05-30 |
| 1356624605 | Ryan Lance Ireland | Pharmacist | 2001 S Rangeline Rd, Joplin, MO 64804-3240 | 2011-09-22 |
| 1154611556 | David R Starrett | Pharmacist | 1940 E 20th St, Suite 2, Joplin, MO 64804-1016 | 2011-04-19 |
| 1528234390 | Kendra Wright | Pharmacist | 1402 E 20th St, Joplin, MO 64804-0926 | 2008-05-01 |
| 1144404369 | Darlene M Deines | Pharmacist | 3220 S Wisconsin Ave Ste A, Joplin, MO 64804 | 2007-12-24 |
| 1821270034 | Robert Austin Holeman | Pharmacist | 495 N Simmental Ln, Joplin, MO 64801-8661 | 2007-11-29 |
| 1487787941 | Lucas B Miller | Pharmacist | 1410 E 7th St, Joplin, MO 64801-2045 | 2007-03-13 |
| 1720045651 | Kimberly Karen Turner | Pharmacist | 3222 S Main St, Joplin, MO 64804-3824 | 2006-04-26 |
| Find all providers in JOPLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.