ALTITUDE DRUG LLC (NPI# 1457640310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457640310 |
| Entity Type | Organization |
| Organization Name | ALTITUDE DRUG LLC |
| Other Organization Name | ALTITUDE DRUG |
| Practice Address |
709 W Pine Street Po 622 Pinedale WY 82941-0622 |
| Mailing Address |
Po Box 622 Pinedale WY 82941-0622 |
| Practice Telephone | 3073672278 |
| Practice Fax Number | 3073673563 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | KYLAH BOWERS (PHARMD) |
| Authorized Official Telephone | 3073672278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
R10067 | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2129688 | 01 |
| Other Name | Type Code |
|---|---|
| Altitude Drug | Doing Business As Name - Organization |
| Street Address |
709 W PINE STREET PO 622 |
| City | PINEDALE |
| State | WY |
| Zip Code | 82941-0622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540794 | Sarah Peterson | Occupational Therapist | 317 N Faler Avenue, Pinedale, WY 82941 | 2020-08-25 |
| 1427600402 | Kelsi Marie Sluyter | Social Worker | 24 Country Club Ln, Pinedale, WY 82941 | 2019-07-10 |
| 1376100776 | Jason M Reasor | Counselor | 24 Country Club Ln., Pinedale, WY 82941 | 2019-05-22 |
| 1831624881 | Winds Physical Therapy LLC | Physical Therapist | 167 South Cole Ave, Pinedale, WY 82941 | 2017-04-27 |
| 1215346424 | Jennifer Jensen | Case Manager/Care Coordinator | 120 S Cole, Pinedale, WY 82941 | 2014-08-13 |
| 1952711384 | Rick Ditton | Social Worker | 798 S Fremont, Pinedale, WY 82941 | 2014-05-07 |
| 1770836553 | Adam Michael Stucki | Pharmacist | 341 E Pine St, Pinedale, WY 82941 | 2012-10-18 |
| 1295022820 | Joshua Howard Francis | Dentist | 51 E. North Street, Pinedale, WY 82941 | 2011-07-04 |
| 1497053144 | Mary L. Simbarcelos | Counselor | 431 W. Pine St., Pinedale, WY 82941 | 2011-03-04 |
| 1902106628 | Sublette County Public Health | Registered Nurse | 619 E Hennick St, Pinedale, WY 82941 | 2010-10-28 |
| Find all providers in zip 82941 | ||||
| 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 |
| 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 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1235402132 | Afton Family Pharmacy | Pharmacy | 141 N Washington St, Afton, WY 83110 | 2012-02-23 |
| Find all providers with the same taxonomy | ||||
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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.