Samuel Aarin Blakeslee, RPH
Individual provider Active NPI Pharmacist · Casper, WY
NPI 1003459397 · NPPES record last updated Oct 20, 2019
Key facts
- NPI
- 1003459397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4185 (WY)
- Practice address
- 300 SE Wyoming Blvd
Casper, WY 82609-4201 - Phone
- (307) 577-7062
- NPI assigned
- Oct 20, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4185 | WY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4185 | WY | Yes |
Addresses
Primary practice location
300 SE Wyoming Blvd
Casper, WY 82609-4201
Mailing address
2935 Desmet Dr
Casper, WY 82604-3047
Phone (307) 399-9698
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.