FRY'S PHARMACY #693
NPI 1417528324
Pharmacy - Community/Retail Pharmacy in Queen Creek, AZ

Q: What is Smith's Food & Drug Centers Inc's NPI number?

The NPI number for Smith's Food & Drug Centers Inc is 1417528324. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as Fry's Pharmacy #693.

Q: What is Smith's Food & Drug Centers Inc's specialty?

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

Active since July 02, 2021CLIA 03D2240054 · Waiver

25105 S. ELLSWORTH RD, QUEEN CREEK, AZ 85142(480) 428-7616(480) 428-7617 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2022, Dec 14, 2022, Jul 2, 2021 (3 updates tracked since 2021).

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About Fry's Pharmacy #693 NPPES

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

FRY'S PHARMACY #693 (NPI 1417528324) is a healthcare organization registered as a community/retail pharmacy in Queen Creek, Arizona and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Lysette Seilhamer, Manager Of Licensing, as its authorized official.

NPPES Registry Identity

NPI1417528324

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSMITH'S FOOD & DRUG CENTERS INC

Location Address25105 S. ELLSWORTH RDQueen Creek, AZ 85142

Mailing AddressPo Box 2918Hutchinson, KS 67504-2918

Phone(480) 428-7616

Fax(480) 428-7617

Organization SubpartNo

Authorized OfficialLysette SeilhamerManager Of Licensing · (513) 762-1090

Enumeration DateJuly 2, 2021

Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1417528324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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

25105 S. ELLSWORTH RD, Queen Creek, AZ 85142

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Other Names 1

Doing Business AsFry's Pharmacy #693

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 03D2240054

Fry's Pharmacy #693 · Queen Creek, AZ

Active · expires Oct 14, 2027

CLIA Number03D2240054

Laboratory TypePharmacy

Certificate Effective DateOctober 15, 2025

Certificate Expiration DateOctober 14, 2027

Laboratory DirectorStephanie Spark

Laboratory Phone(480) 428-7616

Laboratory LocationFry's Pharmacy #69325105 S Ellsworth Rd, Queen Creek, AZ 85142

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

105 services105 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.

104 services104 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.

28 services28 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.

28 services28 patients

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 Smith's Food & Drug Centers Inc's NPI number?

The NPI number for Smith's Food & Drug Centers Inc is 1417528324. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as Fry's Pharmacy #693.

Where is Smith's Food & Drug Centers Inc located?

Smith's Food & Drug Centers Inc is located at 25105 S. Ellsworth Rd, Queen Creek, AZ 85142. The listed phone number is (480) 428-7616.

What is Smith's 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 Smith's Food & Drug Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2240054) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Smith's 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 44 other insurers list Smith's 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 Smith's Food & Drug Centers Inc was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.