Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063734879 Individual Practitioner Female Practitioner

Mavis Lynne Smith , RPH

Pharmacist • Granite City, IL

Professional Overview & Biography Verified Profile Summary

Mavis Smith, RPH is a registered healthcare professional specializing in Pharmacist in Granite City, IL. Practice services are available at 3100 MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 Madison Ave

Granite City, IL 62040

Telephone 6184510521
Associated Practice Facility / Clinic
🏢 Highland Park Cvs, L.l.c. Facility NPI 1639105984

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Granite City, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Granite City, IL (9983 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051-034990

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

NUCC Taxonomy Code: 183500000X

State License CO 0021566

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

NUCC Taxonomy Code: 183500000X

State License MO 041315

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

4 Associated Practitioners
NPI 1255154761

Doctor of Pharmacy (Pharm.D.)

NPI 1467938423

Doctor of Pharmacy (Pharm.D.)

NPI 1467939454

Pharmacist

NPI 1619565009

Registered Pharmacist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 14, 2018

Registered at 3100 MADISON AVE, GRANITE CITY, IL 62040 (Tel: 6184510521)

📍
Updated Business Mailing Address July 14, 2018

Registered at 3100 MADISON AVE, GRANITE CITY, IL 620403651 (Tel: 6184510521)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2018

Pharmacist (License #0021566 in CO)

NPI Profile Active February 20, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2010

Registered at 1101 BELT LINE RD, COLLINSVILLE, IL 622344368 (Tel: 6183468883)

📍
Updated Business Mailing Address February 20, 2010

Registered at 1101 BELT LINE RD, COLLINSVILLE, IL 622344368 (Tel: 6183468883)

👤
Provider Name / Credentials Updated February 20, 2010

Recorded as MAVIS SMITH, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2010

Pharmacist (License #051-034990 in IL)

🟢
Initial NPI Registration & Enumeration February 20, 2010

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: 1063734879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2010
Last Update: July 14, 2018
Sole Proprietor: Yes

Mailing Address

3100 Madison Ave

Granite City, IL 620403651

Phone: 6184510521

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.