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SMITHS PHARMACY #390
NPI 1396760914
Pharmacy - Community/Retail Pharmacy in Wendover, NV

Active since July 13, 2006CLIA 29D2207167 · Waiver
1855 WEST WENDOVER BLVD, WENDOVER, NV 89883(775) 664-3197(775) 664-3207 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Smiths Pharmacy #390 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMITHS PHARMACY #390 (NPI 1396760914) is a healthcare organization registered as a community/retail pharmacy in Wendover, Nevada and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1396760914
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSMITHS FOOD & DRUG CENTERS INC
Location Address1855 WEST WENDOVER BLVDWendover, NV 89883
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(775) 664-3197
Fax(775) 664-3207
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 5, 2016
✔ NPI 1396760914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NV · PH01126
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1855 WEST WENDOVER BLVD, Wendover, NV 89883
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Other Names 1

Doing Business AsSmiths Pharmacy #390

Other Identifiers 5

Medicare PINP01641790
Medicare NSC0365690154
Medicare PINV101414
Other2050867Pk
Medicaid1396760914NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2207167

Smith's Pharmacy #390 · West Wendover, NV
Active · expires Dec 22, 2026
CLIA Number29D2207167
Laboratory TypePharmacy
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorRichard Boman
Laboratory Phone(775) 664-3197
Laboratory LocationSmith's Pharmacy #3901855 W Wendover Blvd, West Wendover, NV 89883
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
83 services82 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
73 services73 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
16 services16 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Smith's Pharmacy #390 carries, from the Medicare DMEPOS supplier directory.

Smith's Pharmacy #390

DMEPOS supplier · Wendover, NVOperated by Smiths Food & Drug Centers Inc
✔

Accepts Medicare assignment

Smith's Pharmacy #390 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20616407
Medicare Participant SinceJuly 1, 2001
Supplier Location1855 W Wendover BlvdWendover, NV 89883
Phone(775) 664-3197
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ECKERSLEY RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1855 WEST WENDOVER BLVD
WEST WENDOVER, NV 89883
Elko County (775) 664-3197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smiths Food & Drug Centers Inc's NPI number?

The NPI number for Smiths Food & Drug Centers Inc is 1396760914. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Smiths Pharmacy #390.

Where is Smiths Food & Drug Centers Inc located?

Smiths Food & Drug Centers Inc is located at 1855 West Wendover Blvd, Wendover, NV 89883. The listed phone number is (775) 664-3197.

What is Smiths Food & Drug Centers Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Smiths Food & Drug Centers Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Smith's Pharmacy #390 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Smiths Food & Drug Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2207167) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Smiths Food & Drug Centers Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 43 other insurers list Smiths Food & Drug Centers Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smiths Food & Drug Centers Inc was last updated on August 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.