STACIE LYNN SMITH (NPI# 1639605603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639605603 |
| Entity Type | Individual |
| Full Name | STACIE LYNN SMITH |
| Practice Address |
43418 State Highway 74 Hemet CA 92544-5219 |
| Mailing Address |
41594 Margarita Rd Apt 198 Temecula CA 92591-2924 |
| Practice Telephone | 9519272584 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 67149 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779602 | Stacie June Marie Smith | Developmental Therapist | 3046 N Kenmore Ave, Chicago, IL 60657-9094 | 2020-01-24 |
| 1295386779 | Stacie Miriam Smith | Technician | 3 Woewassa Ln, Farmington, CT 06032-1038 | 2019-09-25 |
| 1821581158 | Stacie Jean Smith | Nurse Practitioner | 12100 Kain Rd, Glen Allen, VA 23059-5717 | 2018-06-12 |
| 1477981629 | Stacie Anne Smith | Social Worker | 1129 Airport Rd, Milford, DE 19963-6418 | 2013-10-25 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1487801809 | Stacie Felicia Smith | Counselor | 119 N Mcdonough St, Decatur, GA 30030-3300 | 2008-08-27 |
| 1043330111 | Stacie Cunningham Smith | Speech-Language Pathologist | 2469 Woodfield Circle, Lexington, KY 40515 | 2007-03-30 |
| 1437129699 | Stacie Smith | Speech-Language Pathologist | 1403 Autumnmist Dr, Allen, TX 75002-4970 | 2006-01-23 |
| 1083244107 | Stacie Smith | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-01-16 |
| 1174034755 | Stacie Smith | Massage Therapist | 10950 Farmington Rd, Livonia, MI 48150-2753 | 2017-10-23 |
| Street Address |
43418 STATE HIGHWAY 74 |
| City | HEMET |
| State | CA |
| Zip Code | 92544-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033152863 | Longs Drug Stores California LLC | Pharmacy | 43418 State Highway 74, Hemet, CA 92544-5219 | 2006-06-13 |
| 1538776133 | Rosie Nguyen | Pharmacist | 43418 State Highway 74, Hemet, CA 92544-5219 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164408 | Felix Pelarada Olarita Jr. | Physical Therapist | 41255 Crest Drive, Hemet, CA 92544 | 2018-11-27 |
| 1124453055 | Apex Healthcare Medical Center Inc | Internal Medicine | 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 | 2013-09-11 |
| 1134476062 | Renee Luhrs Macdonald | Counselor | 3990 Faure Rd, Hemet, CA 92544 | 2012-08-09 |
| 1427223916 | Mark Dwayne Dykes | Military Health Care Provider | 700 Colorado Dr, Hemet, CA 92544 | 2008-04-25 |
| 1487825691 | Jody A Balboa | Marriage & Family Therapist | 541 N. San Jacinto Ave, Hemet, CA 92544 | 2008-03-14 |
| 1528246964 | Newport Audiology Centers | Hearing Aid Equipment | 1600 East Florida Ave #312, Hemet, CA 92544 | 2008-02-07 |
| 1730212036 | Welch's Shoe Repair | Prosthetic/Orthotic Supplier | 41819 E Florida Ave, Hemet, CA 92544 | 2007-03-14 |
| 1679635221 | Angela Kay Williams | Psychiatry & Neurology | 39990 Faure Rd, Hemet, CA 92544 | 2006-12-13 |
| 1548238702 | Devonshire Care Center, LLC | Skilled Nursing Facility | 1350 E Devonshire Ave, Hemet, CA 92544 | 2006-03-14 |
| 1669755153 | Amir Rahnavard | Internal Medicine | 1600 E Florida Ave Ste 103, Hemet, CA 92544 | 2011-09-21 |
| Find all providers in zip 92544 | ||||
| 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 |
|---|---|---|---|---|
| 1669845475 | Mohamed Khalaf | Pharmacist | 260n Sanderson, Hemet, CA 92545 | 2015-11-03 |
| 1295107605 | Samuel Kim | Pharmacist | 1001 E Latham Ave Ste P, Hemet, CA 92543-4435 | 2015-10-24 |
| 1205234812 | Priya Patel | Pharmacist | 42021 Florida Ave, Hemet, CA 92544-5016 | 2014-12-12 |
| 1821418070 | Afm N Hasan | Pharmacist | 41235 Polly Butte Rd, Hemet, CA 92544-9356 | 2014-04-25 |
| 1518391713 | Dina Dabbous | Pharmacist | 42021 State Highway 74, Hemet, CA 92544-5016 | 2013-08-25 |
| 1962719682 | Haidi Vattolo | Pharmacist | 42021 E Florida Ave, Hemet, CA 92544-5016 | 2010-09-01 |
| 1366761454 | Pei Hsuan Hsieh | Pharmacist | 260 N Sanderson Ave, Hemet, CA 92545-3614 | 2010-05-28 |
| 1336464288 | Duan Khoa Nguyen | Pharmacist | 1117 Devonshire St., Hemet, CA 92543 | 2010-04-05 |
| 1649450305 | Sanjay Pravin Mehta | Pharmacist | 869 W Florida Ave, Hemet, CA 92543-4070 | 2007-11-10 |
| 1184611543 | Bruno Tching | Pharmacist | 1001 E Latham Ave, Inland Pharmacy Inc., Hemet, CA 92543-4435 | 2005-09-30 |
| Find all providers in HEMET | ||||
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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.