Active NPI
Smiths Food & Drug Centers Inc
- Community/Retail Pharmacy
- Buckeye, AZ
National Provider Identifier
1821883992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SMITHS FOOD & DRUG CENTERS INC
- Practice address
- 4625 S Miller Rd
Buckeye, AZ 85326-6989 - Phone
- (480) 351-7440
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lysette Seilhamer
- Title
- Licensing Manager
- Phone
- (513) 587-5328
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4625 S Miller Rd
Buckeye, AZ 85326-6989
Mailing address
PO Box 830242
Philadelphia, PA 19182-0352
Other names 1
- Fry's Pharmacy #654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050623000901 | AZ | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284674698 | This NPI is an additional NPI on the enrollment |
| O20250912001033 | AZ | DME Supplier - Pharmacy | 4284674698 | Practice locations: Buckeye, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fry'S Pharmacy #654 | 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 |
National Provider Directory
National Provider Directory- Tax ID family
- Smiths Drug King
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Tolleson, AZ
- NPI 1881071298
-
- Community/Retail Pharmacy
- Buckeye, AZ
- NPI 1770177156
-
- Community/Retail Pharmacy
- Gilbert, AZ
- NPI 1881441947
-
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1770525313
-
- Community/Retail Pharmacy
- Anthem, AZ
- NPI 1790852374
-
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1801837695
-
- Community/Retail Pharmacy
- Miami, AZ
- NPI 1801838420
-
- Community/Retail Pharmacy
- Glendale, AZ
- NPI 1811030976
-
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1811443799
-
- Community/Retail Pharmacy
- Mesa, AZ
- NPI 1811930142
-
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1811938608
-
- Community/Retail Pharmacy
- Glendale, AZ
- NPI 1811939432
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Buckeye, AZ
- NPI 1053921833
-
- Pharmacist
- Buckeye, AZ
- NPI 1174342364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1821883992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 830242",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 S MILLER RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853266989",
"telephone_number": "480-351-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITHS FOOD & DRUG CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "SEILHAMER",
"authorized_official_first_name": "LYSETTE",
"authorized_official_title_or_position": "LICENSING MANAGER",
"authorized_official_telephone_number": "513-587-5328"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fry's Pharmacy #654",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.