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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mavis Lynne Smith, RPH

Pharmacist in Granite City, IL · enumerated 2010 · practices at Highland Park Cvs, L.L.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063734879

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Registry record

Entity type Individual (Type 1)
Name Mavis Lynne Smith
Credential RPH
Sex Female
Practice address Granite City, IL, 62040
Enumeration date Feb 20, 2010
Last updated in NPPES Jul 14, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 0021566 (CO) Secondary
183500000X Pharmacist Pharmacy Service Providers · License 041315 (MO) Secondary
183500000X Pharmacist Pharmacy Service Providers · License 051-034990 (IL) Primary
RPH · Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mavis Smith practice?
The practice location on file with NPPES is in Granite City, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mavis Smith?
The National Provider Identifier (NPI) for Mavis Smith is 1063734879, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-14.