MR. JERRY CALVIN SMITH (NPI# 1053626895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053626895 |
| Entity Type | Individual |
| Full Name | MR. JERRY CALVIN SMITH |
| Credential | RPH |
| Practice Address |
2422 Wade Hampton Blvd Greenville SC 29615-1146 |
| Practice Telephone | 8642448066 |
| Practice Fax Number | 8642445443 |
| Mailing Telephone | 8642448066 |
| Mailing Fax Number | 8642445443 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4162 | SC | 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 |
| 1770817595 | Jerry J. Smith | Pharmacist | Rr 2 Box 93, Stilwell, OK 74960 | 2009-09-25 |
| 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 |
2422 WADE HAMPTON BLVD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184141699 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2422 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2017-08-25 |
| 1043764392 | Tyler Morgan Fossell | Pharmacist | 2422 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2016-08-03 |
| 1649572074 | Shameem Roshnee Ranchod | Pharmacist | 2422 Wade Hampton Blvd, Riteaid Pharmacy #11643, Greenville, SC 29615-1146 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 |
|---|---|---|---|---|
| 1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
| 1558983486 | Matthew Klieforth | Pharmacist | N2345 Weatherhill Ct, Greenville, WI 54942-8070 | 2020-05-14 |
| 1619596160 | Anna K Lee | Pharmacist | 9665 Highway 150, Greenville, IN 47124-9233 | 2020-04-14 |
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1598320657 | Byeori Kim | Pharmacist | 2953 Beunavista Ct, Greenville, NC 27834-6237 | 2019-05-04 |
| 1528524212 | Taylor Matthew Sanders | Pharmacist | 103 Gilstrap Dr, Greenville, SC 29609-3124 | 2019-02-18 |
| 1407322423 | Doree Richardson | Pharmacist | 200 Patewood Dr Ste B150, Greenville, SC 29615-6339 | 2018-10-17 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1225537996 | Andrew Brown | Pharmacist | 500 Guilder Ln, Greenville, NC 27858-6580 | 2018-02-07 |
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on MR. JERRY CALVIN SMITH.
| 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.