MEDICARE: SMITHS FOOD & DRUG CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH02065	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2052134	OTHER	PK

General Provider Information

NPI Number	:	1285659805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITHS FOOD & DRUG CENTERS INC

Provider Business Mailing Address
First Line	:	PO BOX 842772
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-2772
Country	:	US
Telephone Number	:	513-762-1019
Fax Number	:	513-762-1092

Provider Business Practice Location Address
First Line	:	2255 E CENTENNIAL PKWY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-5601
Country	:	US
Telephone Number	:	702-633-6222
Fax Number	:	702-633-8849

Authorized Official
Title or Position	:	MANAGER OF PHARMACY LICENSING
Name	:	ALLISON MUENNICH
Credential	:
Telephone Number	:	513-762-1019

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/05/2016

Similar Medicare Providers

1992335996 — ROBYN ELIZABETH CLUCK
Practice Location Address:

2255 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
89081-5601

Practice Phone: 702-633-6222
Practice Fax: 702-633-8849

1316665474 — CHRISTOPHER LOLONG PHARMD
Practice Location Address:

2255 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
89081-5601

Practice Phone: 702-633-6222
Practice Fax:

1255745352 — MR. MAKENZIE LEE
Practice Location Address:

9925 W RUSSELL RD UNIT 2040
LAS VEGAS, NV
89148-5601

Practice Phone: 623-241-3968
Practice Fax:

1881666337 — ADAM RICHARD BERLINER MD
Practice Location Address:

5601 LOCH RAVEN BLVD , STE 3 NORTH, NEPHROLOGY CENTER OF MARYLAND
BALTIMORE, MD
21239-2905

Practice Phone: 443-444-3775
Practice Fax: 443-444-4678

1518932862 — NEPHROLOGY CENTER OF MARYLAND, PA
Practice Location Address:

5601 LOCH RAVEN BLVD , SUITE 3 NORTH
BALTIMORE, MD
21239-2905

Practice Phone: 443-444-3775
Practice Fax: 443-444-4678

1619045374 — LESLIE CELESTINA DDS PA
Practice Location Address:

5601 US HWY 27 NORTH
SEBRING, FL
33870-1212

Practice Phone: 863-383-4894
Practice Fax: 863-382-6715

Directions to “SMITHS FOOD & DRUG CENTERS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.