CHARLES KERSHAW SMITH (NPI# 1982145090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982145090 |
| Entity Type | Individual |
| Full Name | CHARLES KERSHAW SMITH |
| Credential | PHARM.D. |
| Practice Address |
803 Brantenburg Way Lutz FL 33548-7934 |
| Practice Telephone | 8139433238 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS54849 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1912563404 | Charles W Smith | Physical Therapist | 230 Holland Rd, Holland, PA 18966-1702 | 2019-05-10 |
| 1528527520 | Charles E Smith | Physical Therapist | 4048 Cedar Bluff Dr Ste 2, Petoskey, MI 49770-8895 | 2019-03-19 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1437651452 | Charles Anthony Smith | Behavior Technician | 8021 36th Ave N, St Petersburg, FL 33710-1011 | 2018-03-06 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1588189765 | Charles Russell Smith Jr. | Counselor | 152 Dunn Rd, Ashburnham, MA 01430-3043 | 2017-08-08 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1649630633 | Charles Elmore Smith | Counselor | 28 Dalton Pl, Springfield, MA 01109-1611 | 2016-03-03 |
| Street Address |
803 BRANTENBURG WAY |
| City | LUTZ |
| State | FL |
| Zip Code | 33548-7934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337821 | Chiros On 54 LLC | Chiropractor | 1003 N Dale Mabry Hwy, Lutz, FL 33548 | 2018-02-28 |
| 1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
| 1699293225 | Lettuce Lake Emergency Physicians LLC | Physician Assistant | 1430 Dale Mabry Highway, Lutz, FL 33548 | 2017-09-04 |
| 1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
| 1891138459 | Atlas Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 | 2013-04-14 |
| 1407122492 | Tania Isabel Mendoza | Pathology | 19045 N Dale Mabry Hwy, Lutz, FL 33548 | 2012-03-24 |
| 1528362944 | Life Discovery Counseling Center | Counselor | 18371 Exciting Idlewild Blvd, Lutz, FL 33548 | 2010-12-28 |
| 1356643423 | Heidi Jane Pickering | Chiropractor | 19011 N Dale Mabry, Lutz, FL 33548 | 2010-11-23 |
| 1992015762 | Yolanda R. Harper | Social Worker | 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 | 2010-10-14 |
| 1821231846 | Michael Lee Bishop | Psychologist | 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2009-04-07 |
| Find all providers in zip 33548 | ||||
| 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 |
|---|---|---|---|---|
| 1124676879 | Nicholas Micciche | Pharmacist | 1621 Papoose Way, Lutz, FL 33559-8673 | 2019-08-27 |
| 1083142657 | Kalee Sullivan | Pharmacist | 18901 Hwy 54, Lutz, FL 33558-5268 | 2017-05-26 |
| 1609262765 | Leticia Rivera | Pharmacist | 2407 Silver Forrest Ln, Lutz, FL 33549-3793 | 2015-04-15 |
| 1073905360 | Polly Marcone | Pharmacist | 18626 Le Dauphine Pl, Lutz, FL 33558-2885 | 2015-02-24 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1013325703 | Maria Rivera | Pharmacist | 1707 Curry Rd, Lutz, FL 33549-7024 | 2014-07-26 |
| 1710319967 | Jefrey I Fleming | Pharmacist | 2313 Forrest Crest Cir, Lutz, FL 33549-3776 | 2013-07-30 |
| 1235571589 | Anthony Richards | Pharmacist | 1419 Kensington Woods Dr, Lutz, FL 33549-3882 | 2013-07-26 |
| 1801237334 | John A Jensen Jr. | Pharmacist | 19141 Golden Cacoon Pl, Lutz, FL 33558-9061 | 2013-07-12 |
| 1083971600 | Joseph Anthony Delosreyes Jr. | Pharmacist | 906 Newberger Rd, Lutz, FL 33549-4025 | 2012-04-19 |
| Find all providers in LUTZ | ||||
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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.