Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609700111 Individual Practitioner Male Practitioner

Dr. Jack Smith , PharmD

Pharmacist • Prescott Valley, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jack Smith, PharmD is a registered healthcare professional specializing in Pharmacist in Prescott Valley, AZ. Practice services are available at 3450 N GLASSFORD HILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3450 N Glassford Hill Rd

Prescott Valley, AZ 863141351

Telephone 9284993478
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1316370836

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Prescott Valley, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Prescott Valley, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S027553

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1124999628

Doctor of Pharmacy (Pharm.D.)

NPI 1639841539

Doctor of Pharmacy (Pharm.D.)

Roy Ware , RPH

Pharmacist

NPI 1871915215

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2026

Registered at 3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 863141351 (Tel: 9284993478)

📍
Updated Business Mailing Address June 10, 2026

Registered at 9938 W VILLA HERMOSA, PEORIA, AZ 853831472

👤
Provider Name / Credentials Updated June 10, 2026

Recorded as JACK SMITH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Pharmacist (License #S027553 in AZ)

🟢
Initial NPI Registration & Enumeration June 10, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609700111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2026
Last Update: June 10, 2026
Sole Proprietor: Yes

Mailing Address

9938 W Villa Hermosa

Peoria, AZ 853831472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.