Paul R Burpo Jr., PHARMD
Individual provider Active NPI Pharmacist · Mountain View, WY
NPI 1013568922 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1013568922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4168 (WY)
- Practice address
- 950 N Hwy 414
Mountain View, WY 82939 - Phone
- (307) 782-3784
- Fax
- (307) 782-3785
- NPI assigned
- Sep 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4168 | WY | MD | Pharmacist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4168 | WY | Yes |
Addresses
Primary practice location
950 N Hwy 414
Mountain View, WY 82939
Mailing address
950 N Hwy 414
Mountain View, WY 82939
Phone (307) 782-3784
Other providers in Mountain View, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 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.