Active NPI
Catherine Ann Fry, RPH
- Pharmacist
- Los Alamos, NM
National Provider Identifier
1588852669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00005167
- Practice address
- 31 Sherwood Blvd
Smith's Pharmacy
Los Alamos, NM 87544-3730 - Phone
- (505) 672-9457
- NPI assigned
- Oct 14, 2007
- Last updated
- Sep 20, 2010
- Sex
- Female
- 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 | RP00005167 | NM | Primary |
Addresses
Primary practice location
31 Sherwood Blvd
Smith's Pharmacy
Los Alamos, NM 87544-3730
Mailing address
31 Sherwood Blvd
Smith's Food and Drug Pharmacy
Los Alamos, NM 87544-3730
Phone (505) 672-9457
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP00005167 | Other | NM | NM RPH LISCENSE |
| 03315842 | Other | OH | OH PHARMACIST LISCENSE |
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 |
|---|---|---|---|
| RP00005167 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Smiths Pharmacy #432
- Community/Retail Pharmacy
- White Rock, NM
- NPI 1457376071
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1588852669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SHERWOOD BLVD",
"address_2": "SMITH'S FOOD AND DRUG PHARMACY",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443730",
"telephone_number": "505-672-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SHERWOOD BLVD",
"address_2": "SMITH'S PHARMACY",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443730",
"telephone_number": "505-672-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-14",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00005167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM RPH LISCENSE",
"identifier": "RP00005167",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH PHARMACIST LISCENSE",
"identifier": "03315842",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.