MRS. JESSICA BROOKS SMITH (NPI# 1669679387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669679387 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BROOKS SMITH |
| Credential | PHARMD |
| Practice Address |
140 E. Main St Othello WA 99344 |
| Mailing Address |
854 S Hummingbird Dr Othello WA 99344-9531 |
| Practice Telephone | 5094885256 |
| Mailing Telephone | 5094884389 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00069659 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454705 | Jessica Elaine Smith | Technician | 1255 Mckinney Cave Rd, Reedsville, WV 26547-7211 | 2020-10-09 |
| 1639781412 | Jessica Marie Smith | Physical Therapist | 10 Village West Dr Ste A, Senoia, GA 30276-3549 | 2020-08-21 |
| 1063037695 | Jessica Hanne Smith | Doula | 1580 Nw 17th St, Corvallis, OR 97330-2532 | 2020-06-09 |
| 1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
| 1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
| 1033755442 | Jessica Smith | Registered Nurse | 8416 Avon St, Jamaica, NY 11432-2302 | 2019-11-20 |
| 1366088981 | Jessica Ann Smith | Registered Nurse | 26716 Kingswood Dr, Olmsted Twp, OH 44138-2135 | 2019-11-19 |
| 1891340584 | Jessica Lynn Smith | Nurse Practitioner | 3009 Sw Moore St, Blue Springs, MO 64015-3309 | 2019-08-08 |
| 1881248995 | Jessica Marie Smith | Genetic Counselor, MS | 1301 Palm Ave Ste 7a004, Jacksonville, FL 32207-8432 | 2019-07-26 |
| 1053965459 | Jessica Lynn Smith | Homemaker | 257 Sw Vann Ct, Lake City, FL 32024-3893 | 2019-07-25 |
| Street Address |
140 E. MAIN ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| 1255381372 | Rodolfo Antonio Dabalos | Chiropractor | 361 E Main St, Othello, WA 99344 | 2006-05-11 |
| Find all providers in zip 99344 | ||||
| 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 |
|---|---|---|---|---|
| 1760835383 | Isaac Martinez | Pharmacist | 615 S 18th Ave, Othello, WA 99344-1581 | 2016-07-19 |
| 1932577202 | Arden Bryan Sherrill | Pharmacist | 1860 E Main St, Othello, WA 99344-1578 | 2015-09-03 |
| 1659753168 | Leigh Castillo | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-06-19 |
| 1356733307 | Chi Mac | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-02-27 |
| 1548608649 | Mark Eugene Petersen | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-06-11 |
| 1043552839 | Kyle Shane Hogaboam | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-03-20 |
| 1740539337 | Jordan William Sheffer | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2012-08-29 |
| 1932475365 | Ravichandra Kamisetti | Pharmacist | 1860 E Main St, Othello, WA 99344-1578 | 2012-03-29 |
| 1114247327 | Nathan Spinelli | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2010-06-10 |
| 1770732745 | Darrell Wilson | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2008-09-15 |
| Find all providers in OTHELLO | ||||
Please comment or provide details below to improve the information on MRS. JESSICA BROOKS 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.