Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003229394 Individual Practitioner Male Practitioner

Dr. Kyle Patrick Smith , PharmD

Pharmacist • Peterson Space Force Base, CO

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Smith, PharmD is a registered healthcare professional specializing in Pharmacist in Peterson Space Force Base, CO. Practice services are available at 559 VINCENT ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

559 Vincent St.
Space Base Delta 1

Peterson Space Force Base, CO 80914

Telephone 7195561109

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peterson Space Force Base, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Peterson Space Force Base, CO (4487 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: 2024-07-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License SC 35650

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.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

State License SC 35650

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1093013732

Registered Pharmacist, Registered Dietitian

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location July 16, 2024

Registered at 559 VINCENT ST., SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914 (Tel: 7195561109)

📍
Updated Business Mailing Address July 16, 2024

Registered at 559 VINCENT ST., SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914 (Tel: 7195561109)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2022

Pharmacist (License #35650 in SC)

📍
Updated Practice Location August 31, 2021

Registered at 673 MDG / SGHQ, 5955 ZEAMER AVE, ANCHORAGE, AK 99506 (Tel: 9075802778)

📍
Updated Practice Location July 08, 2020

Registered at 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 782344504 (Tel: 2105399582)

📍
Updated Business Mailing Address July 08, 2020

Registered at 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 782344504 (Tel: 2105399582)

NPI Profile Active October 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2017

Registered at 220 FALCON PARKWAY, PHARMACY, SCHRIEVER AFB, CO 809122310 (Tel: 7195674423)

📍
Updated Business Mailing Address October 06, 2017

Registered at 220 FALCON PARKWAY, PHARMACY, SCHRIEVER AFB, CO 809122310 (Tel: 7195674423)

👤
Provider Name / Credentials Updated October 06, 2017

Recorded as KYLE SMITH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2017

Pharmacist (License #35650 in SC)

NPI Profile Active August 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2014

Registered at 1050 JABARA AVE, PHARMACY, SEYMOUR JOHNSON AFB, NC 275312310 (Tel: 9197221802)

📍
Updated Business Mailing Address August 12, 2014

Registered at 1050 JABARA AVE, PHARMACY, SEYMOUR JOHNSON AFB, NC 275312310 (Tel: 9197221802)

👤
Provider Name / Credentials Updated August 12, 2014

Recorded as KYLE SMITH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2014

Pharmacist (License #35650 in SC)

🟢
Initial NPI Registration & Enumeration June 04, 2014

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: 1003229394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2014
Last Update: July 16, 2024
Sole Proprietor: No

Mailing Address

559 Vincent St., Space Base Delta 1

Peterson Space Force Base, CO 80914

Phone: 7195561109

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.