THOMAS ROBERT SMITH (NPI# 1407342769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407342769 |
| Entity Type | Individual |
| Full Name | THOMAS ROBERT SMITH |
| Credential | PHARMD |
| Practice Address |
1720 Beacon St Fort Wayne IN 46805-4749 |
| Mailing Address |
11710 Hemingway Bay Fort Wayne IN 46814-8233 |
| Practice Telephone | 8566932024 |
| Mailing Telephone | 8566932024 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
26024785A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1407320120 | Thomas B Smith | Non-emergency Medical Transport (VAN) | 2000 Abbott Cv, Cordova, TN 38016-3526 | 2019-01-15 |
| 1952802357 | Thomas Lloyd Smith Jr. | Contractor | 12291 Commonwealth Avenue, Exmore, VA 23350-1371 | 2018-02-22 |
| 1730614553 | Thomas E Smith | Social Worker | 2940 E Park Ave, Suite 1a, Tallahassee, FL 32301-3446 | 2017-04-30 |
| 1417292749 | Thomas Anson Smith | Ophthalmology | 9830 Lakeshore, West Olive, MI 49460-9553 | 2012-11-27 |
| 1710230750 | Thomas Joseph Smith | Pharmacist | W166n10560 Surrey Dr, Germantown, WI 53022-3948 | 2012-10-15 |
| 1679724280 | Thomas Seldon Smith Jr. | Dentist | 130 Us Hwy 64e, Laurel Terrace Unit 12, Cashiers, NC 28717-0451 | 2008-10-02 |
| 1144488057 | Thomas A Smith | Specialist | 10447 Hart Branch Cir, Orlando, FL 32832-5915 | 2008-05-28 |
| Street Address |
1720 BEACON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164401063 | Gladys A. Beale | Psychiatry & Neurology | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-01-10 |
| 1902432206 | Amy Silvers | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2020-03-18 |
| 1306472600 | Leah Ellen Hall | Counselor | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2020-03-18 |
| 1518425099 | Josie Jean Dean | Registered Nurse | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2019-03-04 |
| 1881148666 | Jacqueline Brandy Vedder | Marriage & Family Therapist | 1720 Beacon St, Fort Wayne, IN 46805 | 2016-08-09 |
| 1003369273 | Nicholas Todoran | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-07-25 |
| 1093168718 | Melinda Davis | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-07-18 |
| 1265880074 | Shawn Fingerle | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-06-02 |
| 1821459371 | Alexis Makridakis | Physician Assistant | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-03-11 |
| 1952779639 | Brittany Coffee | Nurse Practitioner | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176696 | Eric T Barker | Pharmacist | 8351 Rockville Rd, Indianapolis, IN 46234-2722 | 2005-07-06 |
| 1801414867 | Miranda Lynn Stratton | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-07 |
| 1548884869 | Lauren Porter | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-06-02 |
| 1477087385 | Aaron Knapp | Pharmacist | 720 N Marr Rd, Columbus, IN 47201-6660 | 2017-04-18 |
| 1417355967 | Talia Miles | Pharmacist | 1481 W 10th St, Pharmacy Dept (119), Indianapolis, IN 46202-2803 | 2014-12-16 |
| 1295026185 | Archana Rani Jhawar | Pharmacist | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2011-04-26 |
| 1740517846 | Kelly Elizabeth Williams | Pharmacist | 1700 N Illinois St, 3rd Floor Act Teams, Indianapolis, IN 46202-1316 | 2009-11-10 |
| 1053648394 | Elayne D Ansara | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2009-11-06 |
| 1093873010 | Cheen T Lum | Pharmacist | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2006-12-04 |
| 1982696761 | Carol A. Ott | Pharmacist | 1001 W 10th St, Myers Building, Room 7555, Indianapolis, IN 46202-2859 | 2005-08-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.