Provider Demographics
NPI:1346788932
Name:SMITH, NAKEISHA DANYELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NAKEISHA
Middle Name:DANYELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1858 CHESHIRE BRIDGE RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4945
Mailing Address - Country:US
Mailing Address - Phone:470-447-6471
Mailing Address - Fax:470-447-6472
Practice Address - Street 1:1858 CHESHIRE BRIDGE RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4945
Practice Address - Country:US
Practice Address - Phone:470-447-6471
Practice Address - Fax:470-447-6472
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0276311835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist