Dr Kyle Patrick Smith, PHARMD is a
Pharmacist based in Peterson Space Force Base, Colorado. Dr Kyle Patrick Smith is licensed to practice in South Carolina (license number 35650) and his current practice location is
559 Vincent St., Space Base Delta 1, Peterson Space Force Base, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 556-1109.
NPI number for Dr Kyle Patrick Smith is 1003229394 and his current mailing address is 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003229394.
Healthcare Provider's Profile
Full Name | Dr Kyle Patrick Smith |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 559 Vincent St., Peterson Space Force Base, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003229394
- Provider Enumeration Date: 06/04/2014
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Dr Kyle Patrick Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003229394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 35650 (South Carolina) | Secondary |
183500000X | Pharmacist | 35650 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Patrick Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kyle Patrick Smith, PHARMD 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914 Ph: (719) 556-1109 | Dr Kyle Patrick Smith, PHARMD 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914 Ph: (719) 556-1109 |
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