MS. TONJA MEDIVAL SMITH DPH
NPI 1467401893
Pharmacist in Memphis, TN

Q: What is Tonja Smith's NPI number?

The NPI number for Tonja Smith is 1467401893. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Tonja Smith's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Tonja Smith was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2006PECOS Enrolled

2861 BROAD AVE, MEMPHIS, TN 38112(901) 260-8500(901) 325-6469 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Tonja Medival Smith Dph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TONJA MEDIVAL SMITH DPH (NPI 1467401893) is an individual pharmacist in Memphis, Tennessee, licensed in Tennessee (9956) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467401893

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameMS. TONJA MEDIVAL SMITHCredential: DPH

Location Address2861 BROAD AVEMemphis, TN 38112-2903

Mailing Address2060 Us Highway 64 GWhiteville, TN 38075-7476 · (731) 859-5016 · Fax (731) 859-5017

Phone(901) 260-8500

Fax(901) 325-6469

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateNovember 10, 2015

✔ NPI 1467401893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TN · 9956

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

2861 BROAD AVE, Memphis, TN 38112

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tonja Medival Smith Dph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW BUCHMAN NEARN M.D.

Pediatrics