SMITHS PHARMACY #136
NPI 1760407399
Pharmacy - Community/Retail Pharmacy in Provo, UT

Active since July 13, 2006CLIA 46D1090969 · Waiver
350 N FREEDOM BLVD, PROVO, UT 84601(801) 377-9250(801) 377-2978 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Smiths Pharmacy #136 NPPES

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

SMITHS PHARMACY #136 (NPI 1760407399) is a healthcare organization registered as a community/retail pharmacy in Provo, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.Information from the official NPPES registry record, last updated May 17, 2016.

NPPES Registry Identity

NPI1760407399
Entity TypeOrganization
Legal Business NameSMITHS FOOD & DRUG CENTERS INC
Location Address350 N FREEDOM BLVDProvo, UT 84601-2810
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(801) 377-2978
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 17, 2016
NPI 1760407399 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

Licensed in UT · 1312071703

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;… Show more

350 N FREEDOM BLVD, Provo, UT 84601

Also on File with NPPES

Other Names1
Smiths Pharmacy #136 (Doing Business As)
Other Identifiers5
870024000 (Medicare PIN)
=========228 (Medicaid, UT)
2099706 (Other, Pk)
0365690004 (Medicare NSC)
004444075 (Medicare PIN)

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 34 times for 34 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 28 times for 28 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20615207
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D1090969
Facility Type
Pharmacy
Certificate Effective Date
October 22, 2024
Certificate Expiration Date
October 21, 2026
Laboratory Director
RICHARD BOMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Smiths Pharmacy #136 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SMITHS PHARMACY #136

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
350 N FREEDOM BLVD
PROVO, UT 84601
Pharmacist
350 N FREEDOM BLVD
PROVO, UT 84601
Pharmacist
350 N FREEDOM BLVD
PROVO, UT 84601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760407399, enumerated as an "organization" on July 13, 2006.

The provider is located at 350 N FREEDOM BLVD PROVO, UT 84601 and the phone number is (801) 377-9250.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.