Provider Demographics
NPI:1851105506
Name:SMITH, JA'NICE (PHARMD)
Entity type:Individual
Prefix:
First Name:JA'NICE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 RIDGEVIEW DR APT D
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-6425
Mailing Address - Country:US
Mailing Address - Phone:317-213-9682
Mailing Address - Fax:
Practice Address - Street 1:1309 US HIGHWAY 127 S STE H
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4411
Practice Address - Country:US
Practice Address - Phone:502-875-0124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist