GERALD LYNN PAXTON (NPI# 1295986875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295986875 |
| Entity Type | Individual |
| Full Name | GERALD LYNN PAXTON |
| Credential | R.PH. |
| Practice Address |
905 Bridger Dr Green River WY 82935-5879 |
| Practice Telephone | 3078757841 |
| Practice Fax Number | 3078750166 |
| Mailing Telephone | 3078757841 |
| Mailing Fax Number | 3078750166 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2502 | WY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | DRIVERS LICENSE NUMBER | 103142-253 | 01 |
| Street Address |
905 BRIDGER DR |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487197 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 905 Bridger Dr, Green River, WY 82935-5879 | 2006-07-13 |
| 1205485448 | Jordan Mefford | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2019-09-10 |
| 1144795220 | Ajaykumar Patel | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2018-10-04 |
| 1205215456 | Phillip Greg Reasch | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2015-05-20 |
| 1881095966 | Smith's Food and Drug Pharmacy #187 | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-09 |
| 1609276112 | Resha Ashly Ball | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-03 |
| 1306181110 | Kristi Louise Radosevich | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2012-12-05 |
| 1396054797 | Svetlana Wells | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2010-10-02 |
| 1083948806 | Nathaniel David Gomez | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2009-09-25 |
| 1104077783 | Carolyn Komosinski Peavey | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061929 | Zackery N Taylor | Pharmacist | 585 W Main St, Green River, UT 84525 | 2018-11-07 |
| 1770980781 | Tiffanie S Toone | Pharmacist | 135 Monroe Ave Apt E, Green River, WY 82935-5135 | 2014-11-20 |
| 1306269105 | Mark Manig | Pharmacist | 2305 Maryland Dr, Green River, WY 82935-6163 | 2014-01-29 |
| 1326485137 | Alma Killpack | Pharmacist | 170 Commerce Dr Ste B, Green River, WY 82935-6156 | 2013-06-03 |
| 1205485448 | Jordan Mefford | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2019-09-10 |
| 1144795220 | Ajaykumar Patel | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2018-10-04 |
| 1881095966 | Smith's Food and Drug Pharmacy #187 | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-09 |
| 1609276112 | Resha Ashly Ball | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-03 |
| 1346670338 | Cory Officer | Pharmacist | 1105 Bridger Dr, Green River, WY 82935-5895 | 2013-11-12 |
| 1306181110 | Kristi Louise Radosevich | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2012-12-05 |
| Find all providers in GREEN RIVER | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
Please comment or provide details below to improve the information on GERALD LYNN PAXTON.
| 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.