Healthcare Provider Details

I. General information

NPI: 1851105506
Provider Name (Legal Business Name): JA'NICE SMITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 US HIGHWAY 127 S STE H
FRANKFORT KY
40601-4411
US

IV. Provider business mailing address

750 RIDGEVIEW DR APT D
FRANKFORT KY
40601-6425
US

V. Phone/Fax

Practice location:
  • Phone: 502-875-0124
  • Fax:
Mailing address:
  • Phone: 317-213-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number023683
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: