Smiths Food & Drug Centers Inc
Organization Active NPI Community/Retail Pharmacy · Evanston, WY
NPI 1659396281 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1659396281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5201885 (WY)
- Legal business name
- SMITHS FOOD & DRUG CENTERS INC
- Practice address
- 70 Yellow Creek Rd
Evanston, WY 82930-5227 - Phone
- (307) 789-0535
- Fax
- (307) 789-9550
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Allison Muennich
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 7
Member of 1
Practitioners 13
-
Ann Marie Houston, R.PH.
-
Rachael Kankamp, PHARMD
-
Deanna Duryea Parkin, PHARMD
-
Jessie Faye Taylor, PHARMD
-
Charles B Tippetts, PHARMD
-
Eric W Johnson, RPH
-
Codi Lozier, PHARMD
-
Amy Elizabeth Stokes, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Smiths Pharmacy #086 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000127 | WY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284674698 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Evanston, WY; Rock Springs, WY; Riverton, WY; Jackson, WY; Green River, WY; Gillette, WY; Casper, WY |
| O20100930006132 | WY | DME Supplier - Pharmacy |
4284674698 | Practice locations: Evanston, WY |
National Provider Directory
- Tax ID family
- Smiths Drug King
Locations
70 Yellow Creek Rd
Evanston, WY 82930
Phone (307) 789-0535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5201885 | WY | Yes |
Addresses
Primary practice location
70 Yellow Creek Rd
Evanston, WY 82930-5227
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107885200 | Medicaid | WY | |
| 2111330 | Other | PK | |
| 107885201 | Medicaid | WY |
Other names
- SMITHS PHARMACY #86
Other providers in Evanston, WY
- Silver Sage Psychiatry, LLC
- Thomas James Simon
- Andrea Michelle Smith
- Logan Smith
- Maureen Ann Smith
- Trent Sobieck
- South Lincoln Hospital District
- South Lincoln Hospital District
- Adrienne Southard
- Southwest Counseling Service
All providers in Evanston, WY · Community/Retail Pharmacy in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.