NPIMap

Organization Active NPI

Larry's Smithfield Pharmacy, Inc.

  • Pharmacist
  • Smithfield, UT
National Provider Identifier
1215034566
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
146833-1701 Issued in UT
Legal business name
LARRY'S SMITHFIELD PHARMACY, INC.
Practice address
502 S Main St Ste B
Smithfield, UT 84335-2314
Phone
(435) 563-6262
Fax
(435) 563-5277
NPI assigned
Sep 20, 2006
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Mr. Larry Durrant, R.P.H
Title
Owner Pharmacist
Phone
(435) 563-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 146833-1701 UT Primary
Pharmacist 183500000X 2774337-1703 UT

Addresses

Primary practice location

502 S Main St Ste B
Smithfield, UT 84335-2314

Mailing address

502 S Main St Ste B
Smithfield, UT 84335-2314
Phone (435) 563-6262

Other identifiers 2

IdentifierTypeStateIssuer
4609321OtherUTNABP
870642231001MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Larrys Smithfield Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1215034566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST STE B",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843352314",
            "telephone_number": "435-563-6262",
            "fax_number": "435-563-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST STE B",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843352314",
            "telephone_number": "435-563-6262",
            "fax_number": "435-563-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY'S SMITHFIELD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "DURRANT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "435-563-6262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "146833-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "2774337-1703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4609321",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870642231001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.