DR. JACLYN JUNE EDWARDS (NPI# 1184239378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184239378 |
Entity Type | Individual |
Full Name | DR. JACLYN JUNE EDWARDS |
Credential | RPH |
Practice Address |
190 Se Wyoming Blvd Casper WY 82609-1906 |
Mailing Address |
3038 Indian Scout Dr Casper WY 82604-5328 |
Practice Telephone | 3072349184 |
Mailing Telephone | 3073996127 |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4267 | WY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | BOARD OF PHARMACY | 4267 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346741709 | Jaclyn Marie Edwards | Counselor | 220 E Mcmurray Rd, Mc Murray, PA 15317-2948 | 2018-02-21 |
Street Address |
190 SE WYOMING BLVD |
City | CASPER |
State | WY |
Zip Code | 82609-1906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770598856 | Walgreen Co | Pharmacy | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2006-07-29 |
1386121275 | Haley Schmeltzer | Pharmacist | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2018-07-23 |
1285019075 | Andrea Falk | Pharmacist | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2015-07-22 |
1417358029 | Michelle Carpenter | Pharmacist | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2014-09-15 |
1205235736 | Stephanie Cook | Pharmacist | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2014-08-20 |
1154601375 | Stephanie Barsness | Pharmacist | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2011-08-18 |
1437465242 | Renee G Havener | Pharmacist | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2010-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
Find all providers in zip 82609 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306484092 | Compounding Specialists LLC | Pharmacy | 1540 Centennial Ct Unit 100, Casper, WY 82609-7308 | 2019-12-13 |
1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
1861789646 | Geneva Woods Retail Pharmacy, LLC | Pharmacy | 1522 East A St, Casper, WY 82601-2217 | 2011-06-30 |
1689689762 | Walgreen Co | Pharmacy | 1071 Cy Ave, Casper, WY 82604-3515 | 2006-07-29 |
1770598856 | Walgreen Co | Pharmacy | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2006-07-29 |
1194298950 | Pharmworx LLC | Pharmacy | 4641 Sw Wyoming Blvd, Casper, WY 82601-6702 | 2019-01-04 |
1023589462 | University of Wyoming | Pharmacy | 1522 E A St, Casper, WY 82601-2217 | 2018-12-11 |
1073673042 | Community Health Center of Central Wyoming Inc | Pharmacy | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2006-12-11 |
1962448738 | Ridleys Family Markets Inc | Pharmacy | 1375 Cy Ave, Casper, WY 82604-3513 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710535216 | Spamony20 LLC | Pharmacy | 150 E Hart St, Buffalo, WY 82834-1705 | 2019-08-28 |
1689136038 | Cvs Pharmacy Inc | Pharmacy | 1708 Dell Range Blvd, Cheyenne, WY 82009-4945 | 2019-04-04 |
1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
1285140376 | Bear Lake Community Health Center | Pharmacy | 75 Yellow Creek Rd Ste 102, Evanston, WY 82930-5205 | 2017-12-27 |
1922514017 | Bear Lake Community Health Center | Pharmacy | 2620 Commercial Way Ste 121, Rock Springs, WY 82901-4746 | 2017-12-27 |
1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
1487047122 | Glenrock Hsopital District | Pharmacy | 925 West Birch, Glenrock, WY 82637-0786 | 2015-03-05 |
1235402132 | Afton Family Pharmacy | Pharmacy | 141 N Washington St, Afton, WY 83110 | 2012-02-23 |
1790926970 | West Park Hospital District | Pharmacy | 424 Yellowstone Ave Ste 130, Cody, WY 82414-9309 | 2009-03-17 |
1356560742 | Register Cliff Pharmacy, Inc. | Pharmacy | 437 W Whalen Ave, Guernsey, WY 82214 | 2007-04-24 |
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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.