Individual
DR. MICHAEL THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS, BCMTMS
Contact information
Practice address
259 MONROE AVE, ROCHESTER, NY 14607-3632
(585) 210-4197
(585) 210-4197
Mailing address
29 SANIBEL DR, FAIRPORT, NY 14450-8618
(323) 457-6484
(585) 210-4197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0330117935
VT
183500000X
Pharmacist
060548
NY
183500000X
Pharmacist
PH237023
MA
183500000X
Pharmacist
R3133
NH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0330117935
VT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
060548
NY
1835P1200X
Pharmacotherapy Pharmacist
0330117935
VT
1835P1300X
Psychiatric Pharmacist
0330117935
VT
1835P2201X
Ambulatory Care Pharmacist
0330117935
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14950302
CAQH
—
Enumeration date
07/18/2015
Last updated
04/28/2022
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