Organization Active NPI

Smiths Pharmacy III Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1619217684
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482342 Issued in PA
Legal business name
SMITHS PHARMACY III INC
Practice address
133 W Hunting Park Ave Ste 200
Philadelphia, PA 19140-2717
Phone
(215) 324-5100
Fax
(215) 324-5600
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Mina Youssef
Title
Pharmacy Manager
Phone
(215) 324-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482342 PA Primary

Addresses

Primary practice location

133 W Hunting Park Ave Ste 200
Philadelphia, PA 19140-2717

Mailing address

133 W Hunting Park Ave Ste 200
Philadelphia, PA 19140-2717
Phone (215) 324-5100

Other identifiers 2

IdentifierTypeStateIssuer
1027911300001MedicaidPA
2139184OtherPK

Other names 1

  • Smith's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210205001193 PA Part B Supplier - Mass Immunization (Roster Biller Only) 6204240021 Practice locations: Philadelphia, PA
O20211110001993 PA Part B Supplier - Independent Clinical Laboratory 6204240021 Practice locations: Philadelphia, PA
O20250313000372 PA DME Supplier - Pharmacy 6204240021 Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2209792Smiths Pharmacy III, Inc133 W Hunting Park Ave, Philadelphia, PA 19140Certificate of waiverJan 15, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Smiths Pharmacy III Inc133 W Hunting Park Ave, Philadelphia, PA 19140-2717(215) 324-5100 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2021

National Provider Directory

National Provider Directory

Locations

133 W Hunting Park Ave
Ste 20
Philadelphia, PA 19140
Phone (215) 324-5100

133 W Hunting Park Ave
Ste 200
Philadelphia, PA 19140
Phone (215) 324-5100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1619217684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W HUNTING PARK AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402717",
            "telephone_number": "215-324-5100",
            "fax_number": "215-324-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W HUNTING PARK AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402717",
            "telephone_number": "215-324-5100",
            "fax_number": "215-324-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHS PHARMACY III INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-324-5100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027911300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.