Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942756028 Individual Practitioner Male Practitioner

Dr. Kelly Smith , PharmD

Pharmacist • Deer Park, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Smith, PharmD is a registered healthcare professional specializing in Pharmacist in Deer Park, WA. Practice services are available at 401 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 S Main St

Deer Park, WA 990068238

Telephone 5094448200
Fax 5094340392
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Deer Park, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Deer Park, WA (7956 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: 2024-01-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH60565725

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PH60565725 (WA)
Commercial Insurance / Payer ID Pharmacist
PH60565725 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Tyler Pedersen , MD

Emergency Medicine

NPI 1003034828

Doctor of Medicine (M.D.)

Lila Erickson , MSPAS, PA-C

Physician Assistant

NPI 1003134867

MSPAS, Physician Assistant (Certified)

Jeffrey Hayward , PA-C

Physician Assistant

NPI 1003218389

Physician Assistant (Certified)

NPI 1003290941

Doctor of Pharmacy (Pharm.D.)

Anna Denton , FNP-BC

Nurse Practitioner - Family

NPI 1003331539

Family Nurse Practitioner (Board Certified)

Amy Hagins

Social Worker

NPI 1003381492

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 30, 2024

Registered at 401 S MAIN ST, DEER PARK, WA 990068238 (Tel: 5094448200)

📍
Updated Business Mailing Address January 30, 2024

Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)

NPI Profile Active August 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2016

Registered at 6797 ST HWY 303 NE, BREMERTON, WA 983113736 (Tel: 3606983446)

📍
Updated Business Mailing Address August 29, 2016

Registered at 13221 DOGWOOD AVE NW, POULSBO, WA 983707045 (Tel: 3605365170)

👤
Provider Name / Credentials Updated August 29, 2016

Recorded as KELLY SMITH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

Pharmacist (License #PH60565725 in WA)

🟢
Initial NPI Registration & Enumeration August 29, 2016

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: 1942756028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2016
Last Update: January 30, 2024
Sole Proprietor: Yes

Mailing Address

611 N Iron Bridge Way

Spokane, WA 992024932

Phone: 5094448888

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.