MRS. ELIZABETH MITCHELL SMITH (NPI# 1275656738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275656738 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH MITCHELL SMITH |
| Credential | RPH |
| Practice Address |
3330 S Crater Rd Petersburg VA 23805-9277 |
| Mailing Address |
4324 Fox Hill Pl Prince George VA 23875-1865 |
| Practice Telephone | 8048631394 |
| Practice Fax Number | 8048631903 |
| Mailing Telephone | 8045411622 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202006979 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1265040323 | Elizabeth Smith | Behavior Technician | 329 Mesilla View Dr, Chaparral, NM 88081-7944 | 2020-07-15 |
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1437706264 | Elizabeth Danielle Smith | Technician | 6571 Barren River Rd, Bowling Green, KY 42101-7905 | 2019-08-26 |
| 1649834722 | Elizabeth Blair Smith | Occupational Therapist | 12539 Natureview Cir, Bradenton, FL 34212-2984 | 2019-04-24 |
| 1831655653 | Elizabeth Smith | Massage Therapist | 495 W Avenida Cerca, Palm Springs, CA 92262-0695 | 2019-02-17 |
| 1881168011 | Elizabeth A Smith | Occupational Therapy Assistant | 11436 Se 89th Pl, Newcastle, WA 98056-2044 | 2019-01-22 |
| 1215412762 | Elizabeth Horne Smith | Social Worker | 3900 Roland Ave, Baltimore, MD 21211-2018 | 2018-10-01 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| Street Address |
3330 S CRATER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518186253 | Malcolm Lavaughan Massenberg | Pharmacist | 3330 S Crater Rd, Petersburg, VA 23805-9277 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| 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 |
|---|---|---|---|---|
| 1457997850 | Kim Porter | Pharmacist | 1522 Main Street, Petersburg, TX 79250 | 2019-11-20 |
| 1659815322 | Mark Saville | Pharmacist | 86 Saullie Evans Dr, Petersburg, WV 26847-7014 | 2016-12-14 |
| 1851729495 | Fontellia Yates | Pharmacist | 1026 Dakar Dr, Petersburg, VA 23803-4804 | 2013-10-16 |
| 1881937761 | Catherine Kowalski | Pharmacist | 215 North Nordic Drive, Petersburg, AK 99833-1209 | 2013-03-29 |
| 1619247152 | Tina Stoll Graham | Pharmacist | 3280 S Crater Rd, Petersburg, VA 23805-9217 | 2011-12-30 |
| 1275822744 | Rite Aid Pharmacy | Pharmacist | 2141 S Crater Rd, Petersburg, VA 23805-2701 | 2011-04-05 |
| 1427356807 | Sharon Easton Kannegieter | Pharmacist | 4310 Westgate Rd, Petersburg, VA 23803-6571 | 2011-03-08 |
| 1912119868 | Michael Lamar Dupree | Pharmacist | Fcc Petersburg Medium Attn Pharmacy Svc, 1060 River Road Box 90042, Petersburg, VA 23804 | 2007-05-04 |
| 1104946342 | Erica Worhatch | Pharmacist | 215 North Nordic Dr, Petersburg, AK 99833 | 2007-03-30 |
| 1396880738 | John Edward Wall | Pharmacist | 26317 W. Washington Street Extended, Petersburg, VA 23803-0030 | 2007-02-21 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on MRS. ELIZABETH MITCHELL 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.