NPIMap

Organization Active NPI

Smith's Food and Drug Pharmacy #187

  • Pharmacist
  • Green River, WY
National Provider Identifier
1881095966
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3404 Issued in WY
Legal business name
SMITH'S FOOD AND DRUG PHARMACY #187
Practice address
905 Bridger Dr
Green River, WY 82935-5879
Phone
(307) 875-7841
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Resha Ashly Ball, PHARMDNPI 1609276112
Title
Pharmacist
Phone
(307) 875-7841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3404 WY Primary

Addresses

Primary practice location

905 Bridger Dr
Green River, WY 82935-5879

Mailing address

905 Bridger Dr
Green River, WY 82935-5879
Phone (307) 875-7841

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2025082Smith's Pharmacy #187905 Bridger Dr, Green River, WY 82935Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Smiths Pharmacy 80274 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

905 Bridger Dr
Green River, WY 82935
Phone (307) 875-7841

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1881095966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BRIDGER DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355879",
            "telephone_number": "307-875-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BRIDGER DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355879",
            "telephone_number": "307-875-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH'S FOOD AND DRUG PHARMACY #187",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RESHA",
        "authorized_official_middle_name": "ASHLY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "307-875-7841",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.