SMITHS FOOD & DRUG CENTERS INC (NPI# 1568487197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568487197 |
| Entity Type | Organization |
| Organization Name | SMITHS FOOD & DRUG CENTERS INC |
| Other Organization Name | SMITHS PHARMACY #187 |
| Practice Address |
905 Bridger Dr Green River WY 82935-5879 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 3078757841 |
| Practice Fax Number | 3078750166 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5201998 | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2111338 | 01 | |
| WY | 107889500 | 05 |
| Other Name | Type Code |
|---|---|
| SMITHS PHARMACY #187 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862852 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 9710 Skye Canyon Park Dr, Las Vegas, NV 89166-6569 | 2018-05-23 |
| 1750816864 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 565 S Mall Dr, Saint George, UT 84790-1258 | 2017-04-26 |
| 1811443799 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2800 W Dove Valley Rd, Phoenix, AZ 85085-5246 | 2016-08-30 |
| 1942756812 | Smiths Food & Drug Centers Inc | Pharmacy | 25401 N Lake Pleasant Pkwy, Peoria, AZ 85383-1351 | 2016-08-30 |
| 1770930802 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 5448 W Daybreak Pkwy, South Jordan, UT 84009-5901 | 2016-05-18 |
| 1639530900 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2929 E Ocotillo Rd, Chandler, AZ 85249-5595 | 2016-03-15 |
| 1881055143 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 13730 W Camelback Rd, Litchfield Park, AZ 85340-3075 | 2016-03-15 |
| 1578921821 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 | 2016-02-02 |
| 1326405267 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 217 N 2000 W, West Point, UT 84015-8026 | 2016-01-22 |
| 1093181836 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1370 W 200 N, Kaysville, UT 84037-9711 | 2015-08-17 |
| Street Address |
905 BRIDGER DR |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485448 | Jordan Mefford | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2019-09-10 |
| 1144795220 | Ajaykumar Patel | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2018-10-04 |
| 1205215456 | Phillip Greg Reasch | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2015-05-20 |
| 1881095966 | Smith's Food and Drug Pharmacy #187 | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-09 |
| 1609276112 | Resha Ashly Ball | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-03 |
| 1306181110 | Kristi Louise Radosevich | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2012-12-05 |
| 1396054797 | Svetlana Wells | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2010-10-02 |
| 1083948806 | Nathaniel David Gomez | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2009-09-25 |
| 1295986875 | Gerald Lynn Paxton | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2008-10-01 |
| 1104077783 | Carolyn Komosinski Peavey | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935688 | K-pack Pharmacy | Pharmacy | 170 Commerce Dr Ste B, Green River, WY 82935-6156 | 2019-11-05 |
| 1689134868 | Green River Medical Center, Inc. | Pharmacy | 585 West Main Street, Green River, UT 84525 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306484092 | Compounding Specialists LLC | Pharmacy | 1540 Centennial Ct Unit 100, Casper, WY 82609-7308 | 2019-12-13 |
| 1710535216 | Spamony20 LLC | Pharmacy | 150 E Hart St, Buffalo, WY 82834-1705 | 2019-08-28 |
| 1689136038 | Cvs Pharmacy Inc | Pharmacy | 1708 Dell Range Blvd, Cheyenne, WY 82009-4945 | 2019-04-04 |
| 1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
| 1285140376 | Bear Lake Community Health Center | Pharmacy | 75 Yellow Creek Rd Ste 102, Evanston, WY 82930-5205 | 2017-12-27 |
| 1922514017 | Bear Lake Community Health Center | Pharmacy | 2620 Commercial Way Ste 121, Rock Springs, WY 82901-4746 | 2017-12-27 |
| 1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
| 1487047122 | Glenrock Hsopital District | Pharmacy | 925 West Birch, Glenrock, WY 82637-0786 | 2015-03-05 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1235402132 | Afton Family Pharmacy | Pharmacy | 141 N Washington St, Afton, WY 83110 | 2012-02-23 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.