PHARMACEUTICAL COMPOUNDING SPECIALISTS OF WYOMING (NPI# 1770744583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770744583 |
| Entity Type | Organization |
| Organization Name | PHARMACEUTICAL COMPOUNDING SPECIALISTS OF WYOMING |
| Practice Address |
2546 E 2nd St Bldg#100 Casper WY 82609-2062 |
| Practice Telephone | 3074720597 |
| Practice Fax Number | 3072377748 |
| Mailing Telephone | 3074720597 |
| Mailing Fax Number | 3072377748 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MR. RICHARD L JOHNSON (OWNER) |
| Authorized Official Telephone | 3074720597 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
5282609A | WY | Suppliers |
| Street Address |
2546 E 2ND ST BLDG#100 |
| City | CASPER |
| State | WY |
| Zip Code | 82609-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408567 | Katherine Lynn Holder | Occupational Therapy Assistant | 2546 E 2nd St, Bldg 500, Casper, WY 82609-2047 | 2005-06-28 |
| 1194273060 | James Fox Iv | Pharmacist | 2546 E 2nd St, Ste 100, Casper, WY 82609-2062 | 2016-09-20 |
| 1376097402 | Kate Lisco Murphy | Nurse Practitioner | 2546 E 2nd St, Suite #200, Casper, WY 82609-2062 | 2016-08-05 |
| 1427427756 | Bree Michele Bertz | Pharmacist | 2546 E 2nd St, Bldg #100 Suite C, Casper, WY 82609-2062 | 2015-09-16 |
| 1225406085 | Temberly Long | Nurse Practitioner | 2546 E 2nd St, Suite 200, Casper, WY 82609-2062 | 2015-09-10 |
| 1740689157 | Geneva Woods Pharmacy Wyoming, LLC | Durable Medical Equipment & Medical Supplies | 2546 E 2nd St, Bldg 100, Casper, WY 82609-2062 | 2014-08-21 |
| 1205267655 | Chelsea Chantelle Mower | Nurse Practitioner | 2546 E 2nd St, Suite 200, Casper, WY 82609-2062 | 2013-12-11 |
| 1922350776 | Kelly Jenelle Whelan | Speech-Language Pathologist | 2546 E 2nd St, Building #500, Casper, WY 82609-2062 | 2012-10-03 |
| 1104173517 | Miranda Ann Haefele | Dentist | 2546 E 2nd St, #300, Casper, WY 82609-2062 | 2012-08-06 |
| 1376711002 | Urgent Care Now, LLC | Physician Assistant | 2546 E 2nd St, 200, Casper, WY 82609-2062 | 2008-02-15 |
| Find all providers in the same location | ||||
| 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 | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226232 | Geneva Woods Retail Pharmacy, LLC | Pharmacy | 2546 E 2nd St Bldg 100, Ste C, Casper, WY 82609-2062 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962940114 | South Lincoln Hospital District | Pharmacy | 613 Moose St, Kemmerer, WY 83101-3519 | 2017-02-08 |
| 1588647952 | Hoys Inc | Pharmacy | 1115 E Pershing Blvd, Cheyenne, WY 82001-3228 | 2005-11-21 |
| 1891243481 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Suite 101, Cheyenne, WY 82001 | 2016-09-13 |
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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.