Active NPI
Smiths Pharmacy III Inc
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1619217684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482342
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027911300001 | Medicaid | PA | |
| 2139184 | Other | PK |
Other names 1
- Smith's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2209792 | Smiths Pharmacy III, Inc | Certificate of waiver | Jan 15, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Smiths Pharmacy III Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Philadelphia, PA
- NPI 1831625888
-
- Pharmacist
- Philadelphia, PA
- NPI 1518550417
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.