NPI Code Detail JSON Logo

1427783919 NPI number — MARIAH NICOLE SMITH PHARMD

NPI Number: 1427783919
Health Care Provider/Practitioner: MARIAH NICOLE SMITH PHARMD

Information about “1427783919” NPI (MARIAH NICOLE SMITH PHARMD) exists in 1427783919 in HTML format HTML  |  1427783919 in plain Text format TXT  |  1427783919 in PDF (Portable Document Format) PDF  |  1427783919 in an XML format XML  formats.

NPI Number : 1427783919 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427783919",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "MARIAH",
    "MiddleName": "NICOLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1448 CONNORS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LARAMIE",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82070-6652",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "719-298-2310",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "319 E HARNEY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LARAMIE",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82072-2523",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-460-4080",
    "PracticeLocationAddressFaxNumber": "307-480-4082",
    "EnumerationDate": "07/19/2022",
    "LastUpdateDate": "07/19/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "4393",
        "LicenseNumberStateCode": "WY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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