Active NPI
Ryan Lee Smithburg, RPH
- Pharmacist
- Limon, CO
National Provider Identifier
1285766170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15547
- Practice address
- 900 Main St.
Limon, CO 80828-0609 - Phone
- (719) 775-2371
- Fax
- (719) 775-9807
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15547 | CO | Primary |
Addresses
Primary practice location
900 Main St.
Limon, CO 80828-0609
Mailing address
PO Box 609
900 Main St.
Limon, CO 80828-0609
Phone (719) 775-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15547 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smithburg Retail Enterprise, Inc. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Hoffman Drug
- Community/Retail Pharmacy
- Limon, CO
- NPI 1548365992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285766170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609",
"address_2": "900 MAIN ST.",
"city": "LIMON",
"state": "CO",
"postal_code": "808280609",
"telephone_number": "719-775-2371",
"fax_number": "719-775-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST.",
"city": "LIMON",
"state": "CO",
"postal_code": "808280609",
"telephone_number": "719-775-2371",
"fax_number": "719-775-9807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHBURG",
"first_name": "RYAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Limon, CO
- Kay Lynne Redman, MD
- Robert Robertson
- Rural Rest Homes LLC (Tender Care Village of Limon)
- Amber Lee Satz, PHARMD
- Smithburg Retail Enterprise, Inc. (Hoffman Drug)
- Strasburg Dental Group
- Kirsten Tacha, RDH
- Lucinda Tacha, LCSW
- Shelby Tagtmeyer, DENTAL HYGIENIST
- Thrive Healthcare LLC (Hoffman Medical Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.