Provider Demographics
NPI:1689632143
Name:SMITHEY, GREGORY A (PHARM BS)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:A
Last Name:SMITHEY
Suffix:
Gender:M
Credentials:PHARM BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1273 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2207
Mailing Address - Country:US
Mailing Address - Phone:831-422-9004
Mailing Address - Fax:831-422-6427
Practice Address - Street 1:1273 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2207
Practice Address - Country:US
Practice Address - Phone:831-422-9004
Practice Address - Fax:831-422-6427
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH31270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH31270OtherPHARMACIST LICENSE NUMBER