Healthcare Provider Details

I. General information

NPI: 1609700111
Provider Name (Legal Business Name): JACK SMITH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 N GLASSFORD HILL RD
PRESCOTT VALLEY AZ
86314-1351
US

IV. Provider business mailing address

9938 W VILLA HERMOSA
PEORIA AZ
85383-1472
US

V. Phone/Fax

Practice location:
  • Phone: 928-499-3478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027553
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: