MEDICARE: SMITH MANAGEMENT SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336L0003X	Long Term Care Pharmacy
3	333600000X	Pharmacy

General Provider Information

NPI Number	:	1629557202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH MANAGEMENT SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 172678
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-0064
Country	:	US
Telephone Number	:	864-582-1216
Fax Number	:	855-971-3783

Provider Business Practice Location Address
First Line	:	49 E OLD MILL RD
Second Line	:
City	:	FAIR GROVE
State	:	MO
Zip	:	65648-8452
Country	:	US
Telephone Number	:	417-759-6300
Fax Number	:	417-759-6305

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ROY MEIDINGER
Credential	:
Telephone Number	:	980-422-3584

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	08/14/2018

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Directions to “SMITH MANAGEMENT SERVICES, LLC ” Practice Location

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