Smiths Pharmacy II

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482072 Issued in PA

Legal business name

SMITHS PHARMACY II

Doing business as

Smith's Pharmacy

Practice address

841 E Hunting Park Ave
Philadelphia, PA 19124-4800

Phone

(215) 537-3000

Fax

(215) 537-1550

NPI assigned

Dec 3, 2010

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lura HaxhistasaNPI 1275293474

Title

Pharmacy Manager

Phone

(215) 537-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smith's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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.

• Lura Haxhistasa, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1275293474
  Authorized official Same address or phone

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1922300409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244800",
            "telephone_number": "215-537-3000",
            "fax_number": "215-537-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244800",
            "telephone_number": "215-537-3000",
            "fax_number": "215-537-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHS PHARMACY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "HAXHISTASA",
        "authorized_official_first_name": "LURA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-537-3000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3994969",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025489700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Allen Smith
• Zachary Ryan Smith, DO
• Zol-Licia Smith
• Elayne Smithen Ramos, D.M.D
• Judith Smithey, BCBA
• Smiths Pharmacy III Inc
• Smiths Pharmacy III Inc (Smith's Pharmacy)
• Helen Lananne Smithvaldivia, COTA
• Rebecca Smitton, LCSW
• SMJ Behavioral Consultants LLC

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.