Smith Drug Co Inc
Organization Active NPI Community/Retail Pharmacy · Minford, OH
NPI 1649205253 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1649205253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 02-1447700 (OH)
- Legal business name
- SMITH DRUG CO INC
- Practice address
- 8746 State Route 335
Minford, OH 45653 - Phone
- (740) 820-2163
- Fax
- (740) 820-8111
- NPI assigned
- Jul 11, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SMITH DRUG CO INC
Authorized official
- Name
- Michael Sean Sturgill, RPH
- Title
- President / Owner
- Phone
- (740) 354-5622
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 1
-
Michael S Sturgill, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130523000120 | OH | DME Supplier - Pharmacy |
3971620261 | Practice locations: Minford, OH |
| O20171214000979 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 3971620261 | Practice locations: Minford, OH |
National Provider Directory
- Tax ID family
- Smith Drug Co Inc
- Part of
- Smith Drug Co Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 020106500 | OH | |
| Community/Retail Pharmacy | 3336C0003X | 02-1447700 | OH | Yes |
Addresses
Primary practice location
8746 State Route 335
Minford, OH 45653
Mailing address
8746 State Route 335
Minford, OH 45653
Phone (740) 354-5622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316965 | Medicaid | OH |
Other names
- Minford Pharmacy
Other providers in Minford, OH
- Scott Douglas Oliver
- Angela Michelle Osborn
- Megan Nicole Runyon
- Vicki Shoemaker
- Physcilla Faye Slusher
- Smith Drug Co Inc
- Heather J Swords
- Skylar Tackett
- Laura Noel Tingler
- Kimberly June Walk
All providers in Minford, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.