Smokeyrun, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201002870 Issued in VA

Legal business name

SMOKEYRUN, LLC

Doing business as

Goolrick's Pharmacy

Practice address

901 Caroline St
Fredericksburg, VA 22401-5807

Phone

(540) 373-3411

Fax

(540) 373-9370

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Christopher Conder

Title

Owner/Pharmacist

Phone

(804) 239-5803

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Goolrick's Pharmacy Doing business as

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1790226660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAROLINE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015807",
            "telephone_number": "540-373-3411",
            "fax_number": "540-373-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAROLINE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015807",
            "telephone_number": "540-373-3411",
            "fax_number": "540-373-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKEYRUN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "CONDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "804-239-5803"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002870",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goolrick's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Elizabeth Smith, DPT
• Sierra Ashton Smith, MD
• Stephanie Smith
• Tana Smithsakol, MD
• Kellie Marie Smock, LCSW
• Michael H. Snedden, M.D.
• Jason A. Sneed, D.O.
• SNH VA Tenant LLC (HeartFields at Fredericksburg)
• Makayla Snider
• Tegan A. L. Snigier, PSY.D.

• Pharmacy in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.