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	Y006935	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2163977	OTHER		PK

General Provider Information

NPI Number	:	1811443799
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	:

Provider Business Practice Location Address
First Line	:	2800 W DOVE VALLEY RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-5246
Country	:	US
Telephone Number	:	480-994-6235
Fax Number	:	480-994-6236

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

Provider Enumeration Date	:	08/30/2016
Last Update Date	:	12/04/2017

Similar Medicare Providers

1568168391 — JOHN ROBERT TEMPLETON RPH
Practice Location Address:

2800 W DOVE VALLEY RD
PHOENIX, AZ
85085-5246

Practice Phone: 480-994-6235
Practice Fax:

1740021070 — MUNA AHMED ABDILLAHI
Practice Location Address:

3307 W LEODRA LN
PHOENIX, AZ
85041-5246

Practice Phone: 651-443-0323
Practice Fax:

1114877628 — ARL MANAGEMENT GROUP, LLC
Practice Location Address:

2150 W ALAMEDA RD UNIT 1220
PHOENIX, AZ
85085-1937

Practice Phone: 602-669-4919
Practice Fax:

1972901015 — PREMISE HEALTH OF ARIZONA MEDICAL PC
Practice Location Address:

1 NORTERRA DR
PHOENIX, AZ
85085-8204

Practice Phone: 623-715-7055
Practice Fax: 623-715-7007

1467772392 — DR. DAVID MCKEON PRIOR MD
Practice Location Address:

33300 N 32ND AVE STE 320
PHOENIX, AZ
85085-8826

Practice Phone: 602-648-5444
Practice Fax: 602-772-3801

1093715658 — BRIAN R RIVELAND M.D.
Practice Location Address:

27820 N 15TH DR
PHOENIX, AZ
85085-5373

Practice Phone: 602-697-7527
Practice Fax: 480-336-8349

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.