Healthcare Provider Details

I. General information

NPI: 1326950155
Provider Name (Legal Business Name): MADISON SMITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 MECHANICSVILLE TPKE
RICHMOND VA
23223-1331
US

IV. Provider business mailing address

5413 SEMINARY AVE
RICHMOND VA
23227-2236
US

V. Phone/Fax

Practice location:
  • Phone: 540-320-6401
  • Fax:
Mailing address:
  • Phone: 540-320-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number0202222932
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: