Active NPI
Smiths Food & Drug Centers Inc
- Community/Retail Pharmacy
- Mesa, AZ
National Provider Identifier
1477595049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- Y003110
- Legal business name
- SMITHS FOOD & DRUG CENTERS INC
- Practice address
- 1915 S Power Rd
Mesa, AZ 85206-4301 - Phone
- (480) 924-0868
- Fax
- (480) 654-3296
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Muennich
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Y003110 | AZ | Primary |
Addresses
Primary practice location
1915 S Power Rd
Mesa, AZ 85206-4301
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 489288 | Medicaid | AZ | |
| 1988282 | Other | PK |
Other names 1
- FRYS FOOD AND DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050623000901 | AZ | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284674698 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1915 S Power Rd
Mesa, AZ 85206
Phone (480) 325-3020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1477595049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842772",
"city": "BOSTON",
"state": "MA",
"postal_code": "022842772",
"telephone_number": "513-762-1019",
"fax_number": "513-762-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 S POWER RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852064301",
"telephone_number": "480-924-0868",
"fax_number": "480-654-3296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITHS FOOD & DRUG CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MUENNICH",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "MANAGER OF PHARMACY LICENSING",
"authorized_official_telephone_number": "513-762-1019"
},
"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": "AZ",
"license": "Y003110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "489288",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1988282",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FRYS FOOD AND DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- Zammiah Smith, BHT, MA
- Elizabeth Cabrera Smithhart, LPC
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.