Active NPI
Smiths Food & Drug Centers Inc
- Community/Retail Pharmacy
- Gilbert, AZ
National Provider Identifier
1831958636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SMITHS FOOD & DRUG CENTERS INC
- Practice address
- 3490 S. Power Rd.
Gilbert, AZ 85234 - Phone
- (480) 550-3185
- NPI assigned
- Mar 15, 2024
- 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
- Manager of Licensing
- Phone
- (515) 762-1090
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3490 S. Power Rd.
Gilbert, AZ 85234
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1090
Other names 1
- Fry's Pharmacy #655
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 |
| O20250707001273 | AZ | DME Supplier - Pharmacy | 4284674698 | Practice locations: Gilbert, 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 |
|---|---|---|
| Frys Pharmacy #655 | 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
- Gilbert, AZ
- NPI 1881441947
-
- 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
-
- Community/Retail Pharmacy
- Glendale, AZ
- NPI 1821030354
-
- Community/Retail Pharmacy
- Yuma, AZ
- NPI 1821030495
-
- Community/Retail Pharmacy
- Buckeye, AZ
- NPI 1821883992
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1831958636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842772",
"city": "BOSTON",
"state": "MA",
"postal_code": "022842772",
"telephone_number": "513-762-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 S. POWER RD.",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-550-3185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITHS FOOD & DRUG CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "SEILHAMER",
"authorized_official_first_name": "LYSETTE",
"authorized_official_title_or_position": "MANAGER OF LICENSING",
"authorized_official_telephone_number": "515-762-1090"
},
"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 #655",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.