Smiths Food & Drug Centers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y003081 Issued in AZ

Legal business name

SMITHS FOOD & DRUG CENTERS INC

Doing business as

Frys Food and Drug

Practice address

4949 W Ray Rd
Chandler, AZ 85226-2064

Phone

(480) 940-7797

Fax

(480) 705-5193

NPI assigned

Jun 11, 2006

Last updated

Apr 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karla Langworthy

Title

Manager of Pharmacy Credentialing

Phone

(513) 698-1878

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FRYS FOOD AND DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Macon, GA
  • NPI 1639194319

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig G. Clark, RPH

  • Pharmacist
  • Chandler, AZ
  • NPI 1386971984
  NPD (past)
• Larry W. Ganann, R.PH.

  • Pharmacist
  • Chandler, AZ
  • NPI 1437401528
  NPD (past)
• Michele Kadas-Kaprolet, PHARMD

  • Pharmacist
  • Chandler, AZ
  • NPI 1447591623
  NPD (past)
• Steve Ells Lemahieu, RPH

  • Pharmacist
  • Chandler, AZ
  • NPI 1306171590
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1730121302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 99TH AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539700",
            "telephone_number": "623-907-4933",
            "fax_number": "623-907-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262064",
            "telephone_number": "480-940-7797",
            "fax_number": "480-705-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHS FOOD & DRUG CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "LANGWORTHY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY CREDENTIALING",
        "authorized_official_telephone_number": "513-698-1878"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y003081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494617",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRYS FOOD AND DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaniah Quozette Smith, BCBA, LBA
• Shannon Smith, RD
• Yesenia Smith
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Smiths Food & Drug Centers Inc (Fry's Pharmacy #681)
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Randi Kae Snell, NP

• Community/Retail Pharmacy in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.