Healthcare Provider Details

I. General information

NPI: 1316490535
Provider Name (Legal Business Name): CHARITY SMITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3036 E THOMAS RD
PHOENIX AZ
85016-8014
US

IV. Provider business mailing address

7050 E 22ND ST
TUCSON AZ
85710-5113
US

V. Phone/Fax

Practice location:
  • Phone: 602-468-9188
  • Fax: 602-468-0939
Mailing address:
  • Phone: 520-790-9492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS021939
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS021939
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: