Provider Demographics
NPI:1891347043
Name:NESMITH, DAVID BRADLEY JR (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRADLEY
Last Name:NESMITH
Suffix:JR
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 WILLOW HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-5813
Mailing Address - Country:US
Mailing Address - Phone:717-574-7401
Mailing Address - Fax:
Practice Address - Street 1:3893 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MONRONEVILLE
Practice Address - State:PA
Practice Address - Zip Code:24401-5013
Practice Address - Country:US
Practice Address - Phone:412-372-4079
Practice Address - Fax:412-372-4278
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218628183500000X
PARP453323183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist