FRY'S PHARMACY #667
NPI 1881055143
Pharmacy - Community/Retail Pharmacy in Litchfield Park, AZ

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

Active since March 15, 2016CLIA 03D2111630 · Waiver

13730 W CAMELBACK RD, LITCHFIELD PARK, AZ 85340(623) 334-7740(623) 334-7741 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 14, 2016, May 9, 2016, Mar 21, 2016 and 1 more (4 updates tracked since 2016).

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About Fry's Pharmacy #667 NPPES

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

FRY'S PHARMACY #667 (NPI 1881055143) is a healthcare organization registered as a community/retail pharmacy in Litchfield Park, Arizona and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1881055143

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSMITHS FOOD & DRUG CENTERS INC

Location Address13730 W CAMELBACK RDLitchfield Park, AZ 85340-3075

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019

Phone(623) 334-7740

Fax(623) 334-7741

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1263

Enumeration DateMarch 15, 2016

Last NPPES UpdateDecember 7, 20164 updates tracked since enumeration

✔ NPI 1881055143 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 AZ · Y006827

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

13730 W CAMELBACK RD, Litchfield Park, AZ 85340

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Other Names 1

Doing Business AsFry's Pharmacy #667

Other Identifiers 3

Other2158854Pk

Medicare NSC0365690355

Medicare PINZ133030

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 03D2111630

Fry's Pharmacy #667 · Litchfield Park, AZ

Active · expires Apr 11, 2028

CLIA Number03D2111630

Laboratory TypePharmacy

Certificate Effective DateApril 12, 2026

Certificate Expiration DateApril 11, 2028

Laboratory DirectorWhitney Rice

Laboratory Phone(623) 907-4932

Laboratory LocationFry's Pharmacy #66713830 W Camelback Rd, Litchfield Park, AZ 85340

CLIA data matches this NPI record on: Name

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 2024 & 2026 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.

142 services142 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.

137 services137 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.

17 services17 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.

16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Fry's Pharmacy #667 carries, from the Medicare DMEPOS supplier directory.

Fry's Pharmacy #667

DMEPOS supplier · Litchfield Park, AZOperated by Smiths Food & Drug Centers Inc

✔

Accepts Medicare assignment

Fry's Pharmacy #667 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)20615279

Medicare Participant SinceJuly 1, 2001

Supplier Location13730 W Camelback RdLitchfield Park, AZ 85340

Phone(623) 334-7740

Supplier Specialties

Pharmacy

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 7

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

LYNNE MCTAGGART MSN FNP-C

Nurse Practitioner (Family)