NPIMap

Organization Active NPI

Smith Drug Co Inc

  • Community/Retail Pharmacy
  • Portsmouth, OH
National Provider Identifier
1114014313
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020117250 Issued in OH
Legal business name
SMITH DRUG CO INC
Doing business as
Smith Drug Co Inc
Practice address
741 2ND St
Portsmouth, OH 45662-4001
Phone
(740) 354-5622
Fax
(740) 353-1275
NPI assigned
Oct 7, 2006
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Sturgill, RPHNPI 1396331898
Title
Owner
Phone
(740) 354-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020117250 OH Primary

Addresses

Primary practice location

741 2ND St
Portsmouth, OH 45662-4001

Mailing address

741 2ND St
Portsmouth, OH 45662-4001
Phone (740) 354-5622

Other identifiers 2

IdentifierTypeStateIssuer
2075098OtherPK
8187911MedicaidOH

Other names 1

  • SMITH DRUG CO INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930037939 OH DME Supplier - Pharmacy 3971620261 Practice locations: Portsmouth, OH
O20160912002467 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3971620261 Practice locations: Portsmouth, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Smith Drug Co Inc741 2ND St, Portsmouth, OH 45662-4001(740) 354-5622 Epoetin|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Smith Drug Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1114014313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 2ND ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624001",
            "telephone_number": "740-354-5622",
            "fax_number": "740-353-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 2ND ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624001",
            "telephone_number": "740-354-5622",
            "fax_number": "740-353-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "STURGILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-354-5622",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020117250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075098",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8187911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.