MAVIS LYNNE SMITH (RPH) – Pharmacist, NPI 1063734879

MAVIS LYNNE SMITH (RPH) is a healthcare provider. based in Granite city, Illinois. specializing in Pharmacist. They hold the professional credentials RPH. They hold a License No. 0021566 (CO). The NPI Number for MAVIS LYNNE SMITH (RPH) is 1063734879

Main info

Female
Sole Proprietor
Name
MAVIS LYNNE SMITH (RPH)
NPI
1063734879
Phone
(618) 451-0521
Address
3100 MADISON AVE
Enumeration Date
20 February 2010
Last Update Date
14 July 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:16State licenses:3Digital endpointsOther names

Loading map...

Provider Addresses for MAVIS LYNNE SMITH (RPH)

  • 3100, Madison Avenue, Nameoki, Granite City, Madison County, Illinois, 62040, United States

    GRANITE CITY, IL 620403651

    Phone: (618) 451-0521

    Fax: (618) 451-0522

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62040)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to MAVIS LYNNE SMITH (RPH)?
The federal identifier for MAVIS LYNNE SMITH (RPH) is NPI 1063734879.
Does this profile mean MAVIS LYNNE SMITH (RPH) is currently active?
Yes — MAVIS LYNNE SMITH (RPH) appears active in the national provider directory.
What kind of provider is MAVIS LYNNE SMITH (RPH)?
The page reflects Pharmacist for MAVIS LYNNE SMITH (RPH). Clinical services aligned with this taxonomy classification.
Where does public data place MAVIS LYNNE SMITH (RPH)?
The snapshot lists Granite City, Illinois for MAVIS LYNNE SMITH (RPH); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Katie Lynn Drive, Granite City, Madison County, Illinois, 62040, United States
NPI: 1144292657
5, Cobblestone Court, Nameoki, Granite City, Madison County, Illinois, 62040, United States
NPI: 1033217427
150, Cedar Lane, Glen Carbon Crossing, Glen Carbon, Madison County, Illinois, 62034, United States
NPI: 1790838829
3732, Nameoki Road, Nameoki, Granite City, Madison County, Illinois, 62040, United States
NPI: 1154517621
3732, Nameoki Road, Nameoki, Granite City, Madison County, Illinois, 62040, United States
NPI: 1194957621
Kmart, 3655, Nameoki Road, Nameoki, Granite City, Madison County, Illinois, 62040, United States
NPI: 1245553189
3732 NAMEOKI RD
NPI: 1447547559
625 ERICA DR
NPI: 1720361488
3732 NAMEOKI RD
NPI: 1982987590