DR. KENNETH SMITH (NPI# 1568933141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568933141 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SMITH |
| Other Name | DR. KENNETH L SMITH |
| Credential | PHARMD, PHD, RPH |
| Practice Address |
4393 Fielding Ln Norcross GA 30092-1647 |
| Practice Telephone | 7067287239 |
| Mailing Telephone | 7067287239 |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2018-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH030758 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| 1740563634 | Kenneth Wayne Smith | Occupational Therapy Assistant | 12046 W Spring River Ct, Boise, ID 83709-5160 | 2011-09-27 |
| Street Address |
4393 FIELDING LN |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| 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 |
|---|---|---|---|---|
| 1508419003 | Darby Jeter Coxhead | Pharmacist | 5598 Guyton Ct, Norcross, GA 30092-2032 | 2019-07-23 |
| 1710361886 | Nancy Hollash Jara | Pharmacist | 6197 Spalding Dr, Norcross, GA 30092-1802 | 2015-07-17 |
| 1922383256 | Laurie King | Pharmacist | 4284 Patrick Trce, Norcross, GA 30092-1513 | 2011-10-18 |
| 1700169174 | Janice M Davis | Pharmacist | 4330 Doerun Ct, Norcross, GA 30092-1657 | 2011-09-22 |
| 1841528734 | Deroyce D Simmons | Pharmacist | 6103 Queen Anne Ct, Norcross, GA 30093-3746 | 2009-12-03 |
| 1336373471 | Tutugn T Abdulwahab | Pharmacist | 5992 Brookside Oak Cir, Norcross, GA 30093-1752 | 2009-05-04 |
| 1154573517 | Elizabeth C Dunn | Pharmacist | 5505 Buford Hwy, Norcross, GA 30071-3901 | 2008-10-16 |
| 1609045061 | Nancy Scarbrough | Pharmacist | 6050 Peachtree Pkwy, Norcross, GA 30092-3336 | 2008-02-29 |
| 1578694493 | Brad Michael Cherson | Pharmacist | 5731 Berryton Ct, Norcross, GA 30092-2050 | 2007-03-09 |
| 1003802000 | Terrence Dale Eyring | Pharmacist | 1626 Jeurgens Ct Ste A, Norcross, GA 30093-2219 | 2005-09-25 |
| Find all providers in NORCROSS | ||||
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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.