JERI COSTEL (NPI# 1548661168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548661168 |
| Entity Type | Individual |
| Full Name | JERI COSTEL |
| Practice Address |
6350 E 2nd St Casper WY 82609-4264 |
| Mailing Address |
6350 E 2nd Street Casper WY 82609 |
| Practice Telephone | 3072324050 |
| Practice Fax Number | 3073331242 |
| Mailing Telephone | 3072324050 |
| Mailing Fax Number | 3073331242 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2229 | WY | Pharmacy Service Providers |
| Street Address |
6350 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925240 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 6350 E 2nd St, Casper, WY 82609-4264 | 2020-06-02 |
| 1992339493 | Summit Medical Center | Anesthesiology | 6350 E 2nd St, Casper, WY 82609-4264 | 2020-02-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1578187159 | Tara Hensley | Pharmacist | 971 Waterford, Casper, WY 82609-3234 | 2020-05-30 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1639506231 | Roberta Daly | Pharmacist | 4000 E 2nd St, Casper, WY 82609-2385 | 2013-09-27 |
| 1447552989 | Darrell L Dillon | Pharmacist | 1375 Cy Ave, Casper, WY 82604-3513 | 2010-12-02 |
| 1992005557 | Elizabeth Louise Gutierrez | Pharmacist | 300 S Wyoming Blvd, Casper, WY 82609-0000 | 2010-10-29 |
| 1245414499 | Krista J Sarvis | Pharmacist | 1533 East A Street, Casper, WY 82601 | 2007-12-24 |
| 1679696587 | Kimberly Christine Nimmo | Pharmacist | 1100 Granada Ave, Casper, WY 82601-5933 | 2007-04-06 |
| 1417075037 | Kristin A. Saul | Pharmacist | 4641 Sw Wyoming Blvd, Casper, WY 82601 | 2007-03-26 |
| 1487790382 | Richard Leroy Johnson | Pharmacist | 2546 E 2nd St Ste 100, Casper, WY 82609-2062 | 2007-01-29 |
| Find all providers in CASPER | ||||
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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.