MR. JERRY J. SMITH (NPI# 1770817595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770817595 |
| Entity Type | Individual |
| Full Name | MR. JERRY J. SMITH |
| Credential | DPH |
| Practice Address |
Rr 2 Box 93 Stilwell OK 74960 |
| Mailing Address |
402 Greenwood Dr Tahlequah OK 74464-4815 |
| Practice Telephone | 9186968800 |
| Mailing Telephone | 9182077071 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9041 | KS | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 8893 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965719 | Jerry Tyrone Smith | Counselor | 6818 Pasadena Rd, Cheyenne, WY 82009-2812 | 2020-06-02 |
| 1578099131 | Jerry Smith | Occupational Therapy Assistant | 2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873 | 2017-05-02 |
| 1629501820 | Jerry Smith Jr. | Counselor | 2928 E Magnolia Ave, Knoxville, TN 37914-4515 | 2017-04-05 |
| 1538572730 | Jerry Smith | Assisted Living Facility | 50 Tanglewood Dr, Dawsonville, GA 30534-8140 | 2014-06-04 |
| 1265781645 | Jerry Don Smith Jr. | Psychologist | 208 S Twin City Hwy Ste B, Nederland, TX 77627-4201 | 2012-08-31 |
| 1326341090 | Jerry Dee Smith | Dermatology | 310 Sw County Road 1000, Corsicana, TX 75110-8600 | 2010-12-17 |
| 1053626895 | Jerry Calvin Smith | Pharmacist | 2422 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2010-08-17 |
| 1356545669 | Jerry Neil Smith | Speech-Language Pathologist | 210 W Lakeview Dr, Trenton, NC 28585-9589 | 2007-06-12 |
| 1578651261 | Jerry Howard Smith Jr. | Counselor | 818 S Main St, Bladenboro, NC 28320-5970 | 2006-10-10 |
| 1679597850 | Jerry Richard Smith | Physical Therapist | Barbel Plz, #8 New Quarter, St Thomas, VI 00802-4600 | 2006-07-27 |
| Street Address |
RR 2 BOX 93 |
| City | STILWELL |
| State | OK |
| Zip Code | 74960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1356983324 | Jessica Ann Jarvis | Technician | Stilwell Public School, 520 W. Division St., Stilwell, OK 74960 | 2019-10-11 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1902321797 | Rocky Mountain School District No 24 | Local Education Agency (LEA) | Rr 1, B 665, Stilwell, OK 74960 | 2017-08-14 |
| 1912454075 | Mandi Faddis | Technician, Other | Rt 3 Box 2510, Stilwell, OK 74960 | 2016-09-07 |
| 1932566601 | Mandy Richardson | Technician | 1801 S Loucust, Stilwell, OK 74960 | 2016-01-26 |
| 1396129557 | Matthew Glenn Reece | Dentist | Hwy 51 East, Stilwell, OK 74960 | 2015-07-16 |
| 1316360654 | Diana Miller | Counselor | 110 W Maple St, Stilwell, OK 74960 | 2014-01-22 |
| 1356789838 | Sandra Marie Holmes | Speech-Language Pathologist | 100 Maryetta Road, Stilwell, OK 74960 | 2013-06-06 |
| 1306118831 | Joseph William Taylor | Counselor | Rr 1 Box 1536, Stilwell, OK 74960 | 2012-01-30 |
| Find all providers in zip 74960 | ||||
| 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 |
|---|---|---|---|---|
| 1396136115 | George Rishmany | Pharmacist | 3693 W 179th Ter, Stilwell, KS 66085-9247 | 2015-02-16 |
| 1487749081 | Mike B Pinkerton | Pharmacist | 202 South Second, Stilwell, OK 74960 | 2006-10-03 |
| 1306836432 | Michael Larry Anderson | Pharmacist | Rr 6, Stilwell, OK 74960-9806 | 2005-10-28 |
| 1124018395 | Gordon Elliott Watkins | Pharmacist | Rt 2, Hwy 51 East, Stilwell, OK 74960 | 2005-10-27 |
| 1952301012 | Amy Alison Christie | Pharmacist | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2005-07-29 |
| 1932709060 | Leonie Snell | Pharmacist | 84127 Highway 59, Stilwell, OK 74960-4257 | 2020-10-28 |
| 1194325605 | Richard Maul | Pharmacist | 84127 Highway 59, Stilwell, OK 74960-4257 | 2020-10-26 |
| 1073158978 | Alex Pinkerton | Pharmacist | 202 S 2nd St, Stilwell, OK 74960-3806 | 2019-11-14 |
| 1356623284 | Travis Fleming | Pharmacist | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2011-09-16 |
| 1902186240 | Emily R Epperson | Pharmacist | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2011-08-18 |
| Find all providers in STILWELL | ||||
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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.