=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487654083
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GINA PATRICE MCKNIGHT-SMITH PHARMD, MBA, BCPS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2005
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8706 WINANDS RD
-----------------------------------------------------
City | RANDALLSTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21133-4036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-922-6542
-----------------------------------------------------
Fax | 410-922-7192
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8706 WINANDS RD
-----------------------------------------------------
City | RANDALLSTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21133-4036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-922-6542
-----------------------------------------------------
Fax | 410-922-7192
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835P1200X
-----------------------------------------------------
Taxonomy Name | Pharmacotherapy Pharmacist
-----------------------------------------------------
License Number | 14600
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1835G0303X
-----------------------------------------------------
Taxonomy Name | Geriatric Pharmacist
-----------------------------------------------------
License Number | 14600
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------