DR. TRAVIS J. CORK (NPI# 1124041082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124041082 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS J. CORK |
| Credential | PHARMD |
| Practice Address |
711 Samuel Ln Cheyenne WY 82009-4434 |
| Practice Telephone | 3073990881 |
| Mailing Telephone | 3073990881 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
3122 | WY | Pharmacy Service Providers |
| Street Address |
711 SAMUEL LN |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265732598 | Steven M. Borin | Pharmacist | 109 E.17th St, Cheyenne, WY 82001 | 2010-11-03 |
| 1033696992 | Trevor Arave | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2018-07-24 |
| 1669421996 | Weeranuj Yamreudeewong | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093804270 | Dale Roy Carlson | Pharmacist | 901 E 22nd Ave, Torrington, WY 82240-2626 | 2006-10-12 |
| 1679553986 | Tonja Marie Woods | Pharmacist | 255 N 30th St, Laramie, WY 82072-5140 | 2006-01-20 |
| 1659377588 | Agatha Christie Graham | Pharmacist | 1233 E 2nd St, Casper, WY 82601-2926 | 2005-06-24 |
| 1942202296 | Linda Gore Martin | Pharmacist | 1000 E University Ave, Laramie, WY 82071-2000 | 2005-06-01 |
| 1205215456 | Phillip Greg Reasch | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2015-05-20 |
Please comment or provide details below to improve the information on DR. TRAVIS J. CORK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.