Mavis Lynne Smith, RPH
NPI 1063734879ActiveIndividual· Pharmacist· Granite City, IL
Pharmacist (RPH) in Granite City, Illinois, licensed in IL, CO and MO, with an NPI issued in February 2010.
Overview
| NPI | 1063734879 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | Yes |
| NPI issued | Feb 20, 2010 |
| Last updated in NPPES | Jul 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 051-034990 | IL |
| Pharmacist | 183500000X | 0021566 | CO |
| Pharmacist | 183500000X | 041315 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 36 pharmacists in Granite City · All pharmacists in Illinois