MEDICARE: DR. RHIANNON SMITH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	021112	KY
2	183500000X	Pharmacist	43824	TN
3	183500000X	Pharmacist	20465	AL

General Provider Information

NPI Number	:	1992597231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHIANNON SMITH

Provider Business Mailing Address
First Line	:	529 CAPP HARLAN RD
Second Line	:
City	:	TOMPKINSVILLE
State	:	KY
Zip	:	42167-1840
Country	:	US
Telephone Number	:	270-487-9231
Fax Number	:	270-487-6800

Provider Business Practice Location Address
First Line	:	529 CAPP HARLAN RD
Second Line	:
City	:	TOMPKINSVILLE
State	:	KY
Zip	:	42167-1840
Country	:	US
Telephone Number	:	270-487-9231
Fax Number	:	270-487-6800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

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Directions to “ DR. RHIANNON SMITH ” Practice Location

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