DR. GARY LANE SMITH JR. (NPI# 1578620548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578620548 |
| Entity Type | Individual |
| Full Name | DR. GARY LANE SMITH JR. |
| Credential | PHARM.D. |
| Practice Address |
940 Belmont St Brockton MA 02301-5596 |
| Mailing Address |
25 Loring St Apt 2 Somerville MA 02143-2813 |
| Practice Telephone | 7748261110 |
| Mailing Telephone | 6175298663 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26947 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254393 | Gary Smith | Counselor | 97 Olde English, Romeoville, IL 60446 | 2020-01-16 |
| 1366879702 | Gary Stephen Smith | Dentist | 1391 Emerald Cir, Southlake, TX 76092-3305 | 2013-09-30 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1578887873 | Gary Lamont Smith | Counselor | 1801 N Tryon St Ste 111, Charlotte, NC 28206-2704 | 2010-03-16 |
| 1558505610 | Gary Dean Smith | Chiropractor | 1778 Watson St N, Enumclaw, WA 98022-3447 | 2009-04-20 |
| 1972781466 | Gary Bruce Smith | Counselor | 1218 West Broadway Avenue, Sulphur, OK 73086-4416 | 2008-02-06 |
| 1639369465 | Gary E.m. Smith | Optometrist | 511 E. Kern Ave., Tulare, CA 93274-4210 | 2007-07-27 |
| 1639372162 | Gary R Smith | Chiropractor | 74-967 Hwy 111, Indian Wells Chiropractic Clinic, Indian Wells, CA 92210 | 2007-06-11 |
| 1578614426 | Gary L. Smith | Dentist | 7600 Raytown Road, Suite 102, Raytown, MO 64138-1855 | 2007-01-16 |
| 1316014582 | Gary Steven Smith | Technician/Technologist | 2400 N Croatan Hwy, Kill Devil Hills, NC 27948-9355 | 2006-11-30 |
| Street Address |
940 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
| 1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
| 1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
| 1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
| 1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
| 1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
| 1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
| 1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003265 | Ilona Shishko Almeida | Pharmacist | 940 Belmont St, Brockton, MA 02301-5596 | 2014-08-22 |
| 1003045766 | Jeni Elaine Norstrom | Pharmacist | 940 Belmont St, Brockton, MA 02301-5596 | 2009-07-02 |
| 1306970009 | Michael Mcdonough | Pharmacist | 940 Belmont St, Brockton, MA 02301-5596 | 2007-03-15 |
| 1316042013 | Alan R. Kershaw | Pharmacist | 940 Belmont St, Brockton, MA 02301-5596 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419948 | Andrew Stein | Pharmacist | 401 Great Plain Ave, Needham, MA 02492-3735 | 2020-08-28 |
| 1356954010 | Hossein Monzavi | Pharmacist | 25 Carleton St Bldg E-23, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1750901419 | Tiffany Nicole Powers | Pharmacist | 96 Chestnut St, Foxborough, MA 02035-1444 | 2020-04-23 |
| 1538792270 | Collin O'neill | Pharmacist | 135 Pleasant St Apt 405, Brookline, MA 02446-7187 | 2020-02-21 |
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1376193581 | Andrew Swanner | Pharmacist | 250 W 5th St Apt 3, Boston, MA 02127-4604 | 2019-09-19 |
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1558843896 | Laura Elizabeth Martin | Pharmacist | 133 Old Rd 9 Acre Cor, Concord, MA 01742-4169 | 2018-09-04 |
| 1487183380 | Benjamin Laliberte | Pharmacist | 55 Fruit St # St-005, Boston, MA 02114-2621 | 2017-06-06 |
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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.