Smiths Food & Drug Centers Inc
Organization Active NPI Community/Retail Pharmacy · Rock Springs, WY
NPI 1194740720 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1194740720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5202267 (WY)
- Legal business name
- SMITHS FOOD & DRUG CENTERS INC
- Practice address
- 2531 Foothill Blvd
Rock Springs, WY 82901-4744 - Phone
- (307) 362-1841
- Fax
- (307) 382-2197
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Allison Muennich
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 7
Member of 1
Practitioners 10
-
Nancy Susan Andersen, RPH
-
Carolyn H Canestrini, R.PH.
-
Angela Rose Gomez, RPH
-
Amy Hughes, PHARM. D.
-
Jordan Mefford, PHARMD
-
Karlee Rae Miller, PHARMD
-
Paul Stephen Piaia, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Smiths Pharmacy #182 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000127 | WY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284674698 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Evanston, WY; Rock Springs, WY; Riverton, WY; Jackson, WY; Green River, WY; Gillette, WY; Casper, WY |
| O20100930010373 | WY | DME Supplier - Pharmacy |
4284674698 | Practice locations: Rock Springs, WY |
National Provider Directory
- Tax ID family
- Smiths Drug King
Locations
2531 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 362-1841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5202267 | WY | Yes |
Addresses
Primary practice location
2531 Foothill Blvd
Rock Springs, WY 82901-4744
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107886100 | Medicaid | WY | |
| 2111351 | Other | PK |
Other names
- SMITHS PHARMACY # 182
Other providers in Rock Springs, WY
- Angela Slinden
- Alexandra Smith
- Christine E Smith
- Leslie Washburn Smith
- Michelle Marie Smith
- Jasmine Soller
- Souly Unique LLC
- South Lincoln Hospital District
- Southwest Counseling
- Southwest Counseling Service
All providers in Rock Springs, WY · Community/Retail Pharmacy in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.