Provider Demographics
NPI:1770868200
Name:SMART- CARR, DONNA W (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:W
Last Name:SMART- CARR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:W
Other - Last Name:SMART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:250 W 57TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10107-0001
Mailing Address - Country:US
Mailing Address - Phone:212-265-2101
Mailing Address - Fax:212-265-2105
Practice Address - Street 1:250 W 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107
Practice Address - Country:US
Practice Address - Phone:212-265-2101
Practice Address - Fax:212-265-2105
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist