SMITH FAMILY PHARMACY
NPI 1790027449
Pharmacy - Community/Retail Pharmacy in Conway, AR

Q: What is J J J Smith Inc's NPI number?

The NPI number for J J J Smith Inc is 1790027449. It was assigned to this organization in the NPPES registry on March 20, 2013. The provider is doing business as Smith Family Pharmacy.

Q: What is J J J Smith Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for J J J Smith Inc was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 20, 2013CLIA 04D2232205 · Waiver

2425 DAVE WARD DR ST 602, CONWAY, AR 72034(501) 336-8188(501) 336-8177 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2022, Feb 3, 2016 (2 updates tracked since 2016).

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About Smith Family Pharmacy NPPES

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

SMITH FAMILY PHARMACY (NPI 1790027449) is a healthcare organization registered as a community/retail pharmacy in Conway, Arkansas and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Robert Blake Johnson, Owner / Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1790027449

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameJ J J SMITH INC

Location Address2425 DAVE WARD DR ST 602Conway, AR 72034

Mailing Address2425 Dave Ward Drive St 602Conway, AR 72034 · (501) 336-8188 · Fax (501) 336-8177

Phone(501) 336-8188

Fax(501) 336-8177

Organization SubpartNo

Authorized OfficialRobert Blake JohnsonOwner / Pharmacist · (501) 336-8188

Enumeration DateMarch 20, 2013

Last NPPES UpdateMay 3, 20222 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1790027449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in AR · AR20709

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

2425 DAVE WARD DR ST 602, Conway, AR 72034

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Other Names 1

Doing Business AsSmith Family Pharmacy

Other Identifiers 2

Other2139577Pk

OtherP01689342AR · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smith Family Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArkansasEnrollment IDO20130801000607Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2232205

Dba Smith Family Pharmacy Jjj Smith Inc · Conway, AR

Active · expires Aug 10, 2027

CLIA Number04D2232205

Laboratory TypePharmacy

Certificate Effective DateAugust 11, 2025

Certificate Expiration DateAugust 10, 2027

Laboratory DirectorMr. Robert B. Johnson

Laboratory Phone(501) 336-8188

Laboratory LocationDba Smith Family Pharmacy Jjj Smith Inc2425 Dave Ward Drive Ste 602, Conway, AR 72034

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

267 services265 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

231 services231 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

19 services19 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J J J Smith Inc's NPI number?

The NPI number for J J J Smith Inc is 1790027449. It was assigned to this organization in the NPPES registry on March 20, 2013. The provider is doing business as Smith Family Pharmacy.

Where is J J J Smith Inc located?

J J J Smith Inc is located at 2425 Dave Ward Dr St 602, Conway, AR 72034. The listed phone number is (501) 336-8188.

What is J J J Smith Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is J J J Smith Inc enrolled in Medicare?

Yes. J J J Smith Inc is registered in the Medicare PECOS enrollment system.

When is J J J Smith Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Mass Immunization (Roster Biller Only)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does J J J Smith Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2232205) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does J J J Smith Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 49 other insurers list J J J Smith Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J J J Smith Inc was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.