Active NPI
Logan Smolla, PHARMD
- Pharmacist
- Durango, CO
National Provider Identifier
1770183733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16496
- Practice address
- 2701 Main Ave
Durango, CO 81301-5921 - Phone
- (970) 385-1001
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16496 | NE | Primary |
Addresses
Primary practice location
2701 Main Ave
Durango, CO 81301-5921
Mailing address
2701 Main Ave
Durango, CO 81301-5921
Phone (308) 379-2692
Other practice location 1
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA.0025077 | Other | CO | PHARMACY LICENSE |
| 16496 | Other | NE | PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16496 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1770183733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 MAIN AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015921",
"telephone_number": "308-379-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 MAIN AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015921",
"telephone_number": "970-385-1001"
}
],
"practiceLocations": [
{
"address_1": "516 E Nizhoni Blvd",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873015748",
"country_code": "US",
"telephone_number": "505-722-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMOLLA",
"first_name": "LOGAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PHA.0025077",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "16496",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.