MISTY SMITH (NPI# 1477151975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477151975 |
| Entity Type | Individual |
| Full Name | MISTY SMITH |
| Credential | PHARMD |
| Practice Address |
444 Se Stephens St Roseburg OR 97470-3136 |
| Mailing Address |
5218 Pacific Way Longview WA 98632-9654 |
| Practice Telephone | 5416724896 |
| Mailing Telephone | 3607473880 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-00018127 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PHARMACIST LICENSE | RPH-0018127 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920650 | Misty Rene Smith | Physical Therapy Assistant | 5934 County Road 289, Sweeny, TX 77480-4024 | 2019-09-11 |
| 1992265805 | Misty Dawn Smith | Speech-Language Pathologist | 342 W Central Avenue, Jamestown, TN 38556 | 2019-03-25 |
| 1548631542 | Misty Smith | Health Educator | 21340 Old Covington Hwy, Hammond, LA 70403-0528 | 2015-10-15 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| 1790077089 | Misty D Smith | Registered Nurse | 620 Manassas Cir, Bossier City, LA 71112-4842 | 2011-05-05 |
| 1972584258 | Misty L. Smith | Chiropractor | 303 E Taylor St, Hobbs, NM 88240-6139 | 2005-11-14 |
| 1699397653 | Misty Smith | Behavioral Analyst | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-05-13 |
| 1205485299 | Misty Smith | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-09-11 |
| 1780247247 | Misty M Smith | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-04-19 |
| 1508352535 | Misty B. Smith | Counselor | 5865 Ridgeway Center Pkwy Ste 300, Memphis, TN 38120-4014 | 2018-07-02 |
| Street Address |
444 SE STEPHENS ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619418555 | Kim Vo | Pharmacist | 444 Se Stephens St, Roseburg, OR 97470-3136 | 2017-03-11 |
| 1134775729 | Kenneth Trieu | Pharmacist | 444 Se Stephens St, Roseburg, OR 97470-3136 | 2019-08-10 |
| 1184133688 | Keith Michael Ginoff | Pharmacist | 444 Se Stephens St, Roseburg, OR 97470-3136 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1619418555 | Kim Vo | Pharmacist | 444 Se Stephens St, Roseburg, OR 97470-3136 | 2017-03-11 |
| 1568812865 | Gerald Wieland | Pharmacist | 2757 Nw Stewart Pkwy, Roseburg, OR 97471-1251 | 2016-06-16 |
| 1871920025 | Lonnie D Sanders | Pharmacist | 4601 Carnes Rd, Suite #9, Roseburg, OR 97471-4600 | 2013-10-02 |
| 1629320486 | Aaron M Ballensky | Pharmacist | 390 N River Dr, Roseburg, OR 97470-8008 | 2012-10-03 |
| 1790058584 | Keith A Phifer | Pharmacist | 1381 Garden Valley Blvd, Roseburg, OR 97471-1790 | 2012-02-09 |
| 1134412067 | Su Yan Har | Pharmacist | 1430 Nw Garden Valley Blvd, Roseburg, OR 97471-1766 | 2011-05-25 |
| 1457643058 | Thirupathi Reddy Dontam | Pharmacist | 161 Ne Rifle Range St, Apt#58, Roseburg, OR 97470-5914 | 2011-05-15 |
| 1912027731 | George Martin Hiers Iv | Pharmacist | 1350 Ne Stephens, 42, Roseburg, OR 97470 | 2007-03-29 |
| 1417902834 | Philip Bruce Kaser | Pharmacist | 1175 W Harvard Ave, Roseburg, OR 97470-2834 | 2006-05-24 |
| Find all providers in ROSEBURG | ||||
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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.