MRS. JESSICA JEAN SMITH (NPI# 1871960906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871960906 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA JEAN SMITH |
| Credential | PHARMD |
| Practice Address |
1324 N State St Provo UT 84604-2419 |
| Practice Telephone | 8013742015 |
| Practice Fax Number | 8013749954 |
| Mailing Telephone | 8013742015 |
| Mailing Fax Number | 8013749954 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71318031701 | UT | 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 |
1324 N STATE ST |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447566476 | Nathan Bullock | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2010-08-27 |
| 1184147118 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1324 N State St, Provo, UT 84604-2419 | 2017-07-21 |
| 1518310184 | Jeff Russell | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2016-07-19 |
| 1487007019 | Brian Wood | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2016-07-19 |
| 1275946238 | Anthony Goulding | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2014-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1871958892 | David Zachary Rittenhouse | Pharmacist | 1015 N 1550 W, Provo, UT 84604-3014 | 2015-12-17 |
| 1346676046 | Edward Matterfis | Pharmacist | 1165 S University Ave, Provo, UT 84601-5954 | 2013-09-25 |
| 1154698843 | David D'layne James | Pharmacist | 1215 N State Street, Provo, UT 84604 | 2011-11-23 |
| 1427335603 | Travis D Guymon | Pharmacist | 395 W Bulldog Blvd Ste 204, Provo, UT 84604 | 2011-11-15 |
| 1447566476 | Nathan Bullock | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2010-08-27 |
| 1114129657 | Deann Cole | Pharmacist | 560 W Center Street, Albertson Savon Pharmacy, Provo, UT 84601 | 2007-06-05 |
| 1467660399 | Kristie A Fitzgerald | Pharmacist | Utah Valley Regional Medical Center, 1034 North 500 West, Provo, UT 84604-3305 | 2007-05-21 |
| 1205959566 | Brent Sterling Argyle | Pharmacist | 500 West 1230 North, Provo, UT 84601 | 2007-04-09 |
| 1851440879 | Craig S Swenson | Pharmacist | 1750 North Wymount Terrace Drive, Provo, UT 84602 | 2007-01-09 |
| 1346282951 | Rock Canyon Pharmacy LLC | Pharmacist | 3179 N Canyon Rd, Provo, UT 84604-3916 | 2006-06-11 |
| Find all providers in PROVO | ||||
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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.