SMITHS FOOD & DRUG CENTERS INC SOS Verified
4965 E SAHARA AVE, LAS VEGAS, NV 89104
NPI Number
1700282191
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SMITH'S FOOD & DRUG CENTERS, INC.
Entity Number: C28311-2003
Entity Type: Foreign Corporation
Entity Status: Active
Formation Date: 2003-11-14
Name Match: 95%
Registered Agent
Name: CORPORATION SERVICE COMPANY*
Type: Commercial Registered Agent
Address: 112 NORTH CURRY STREET, Carson City, NV, 89703
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Treasurer | CARIN FIKE | 1014 VINE ST, CINCINNATI, OH, 45202 | Inactive |
| President | KENNETH KIMBALL | 1550 S REDWOOD RD, SALT LAKE CITY, UT, 84104 | Inactive |
| Secretary | CHRISTINE WHEATLEY | 1014 VINE ST, CINCINNATI, OH, 45202 | Inactive |
| Director | CHRISTINE S. WHEATLEY | 1014 VINE ST, CINCINNATI, OH, 45202 | Inactive |
| President | KENNETH KIMBALL | 1550 S REDWOOD RD, SALT LAKE CITY, UT, 84104 | Inactive |
| Secretary | CHRISTINE WHEATLEY | 1014 VINE ST, CINCINNATI, OH, 45202 | Inactive |
| Treasurer | CARIN FIKE | 1014 VINE ST, CINCINNATI, OH, 45202 | Inactive |
| Director | CHRISTINE S. WHEATLEY | 1014 VINE ST, CINCINNATI, OH, 45202 | Inactive |
| President | Joseph Bradley | 1014 Vine Street, Cincinnati, OH | Inactive |
| President | Devin Shafer | 1550 S. Redwood Road, Salt Lake City, UT | Inactive |
| Other | Joseph Bradley | 1014 Vine Street, Cincinnati, OH | Inactive |
| Other | Devin Shafer | 1550 S. Redwood Road, Salt Lake City, UT | Inactive |
| Other | Jacqueleen Cossey | 2620 Elm Hill Pike, Nashville, TN | Inactive |
| Other | Philip Nelson | 2620 Elm Hill Pike, Nashville, TN | Inactive |
| Other | Robert Lancaster | 1014 Vine Street, Cincinnati, OH | Inactive |
| Treasurer | Lisa Helton | 1014 Vine Street, Cincinnati, OH | Inactive |
| President | Kenneth Kimball | 1550 S. Redwood Road, Salt Lake City, UT | Active |
| Treasurer | Carin Fike | 1014 Vine Street, Cincinnati, OH | Active |
| Treasurer | Devin Shafer | 1550 S. Redwood Road, Salt Lake City, UT | Active |
| Secretary | Robert Lancaster | 1014 Vine Street, Cincinnati, OH | Active |
| Treasurer | Lisa Helton | 1014 Vine Street, Cincinnati, OH | Active |
| Secretary | Monica Garnes | 500 S. 99th Avenue, Tolleson, AZ | Active |
| Treasurer | David Weakland | 500 S. 99th Avenue, Tolleson, AZ | Active |
| Secretary | Laura Alsteen | 2620 Elm Hill Pike, Nashville, TN | Active |
| Secretary | John DeFrance | 1100 W. Artesia Blvd, Compton, CA | Active |
| Secretary | Kyle Grubbs | 1014 Vine Street, Cincinnati, OH | Active |
| Secretary | Steven Prough | 1100 W. Artesia Blvd., Compton, CA | Active |
| Secretary | Dorothy Roberts | 1014 Vine Street, Cincinnati, OH | Active |
| Secretary | George Vincent | 1014 Vine Street, Cincinnati, OH | Active |
| Director | George Vincent | 1014 Vine Street, Cincinnati, OH | Active |
Campaign Contributions
$50Total Contributed
1Candidates Supported
Officer / Individual Matches
Dorothy RobertsPossible Match
Matched via officer: Dorothy Roberts (Secretary)
$50 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Aaron Ford | Attorney General | Democratic Party | $50 | 1 |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2021 | $0 | |
| 2024 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 13 | $0 | 0.0% | $0 |
| 0064A | Medical service or procedure | 24 | $0 | 0.0% | $0 |
| 0011A | Medical service or procedure | 29 | $0 | 0.0% | $0 |
| 0001A | Medical service or procedure | 12 | $0 | 0.0% | $0 |
| 0002A | Medical service or procedure | 12 | $0 | 0.0% | $0 |
| 90480 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 0012A | Medical service or procedure | 29 | $0 | 0.0% | $0 |