NPIMap

Organization Active NPI

State of Wyoming

Doing business as Wyoming State Training School

  • Institutional Pharmacy
  • Lander, WY
National Provider Identifier
1023154564
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5202926IP Issued in WY
Legal business name
STATE OF WYOMING
Doing business as
Wyoming State Training School
Practice address
8204 State Highway 789
Lander, WY 82520-2941
Phone
(307) 335-6719
Fax
(307) 335-6987
NPI assigned
Jan 30, 2007
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Kulow
Title
Operations MGR
Phone
(307) 335-6762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 5202926IP WY Primary

Addresses

Primary practice location

8204 State Highway 789
Lander, WY 82520-2941

Mailing address

8204 State Highway 789
Lander, WY 82520-2941
Phone (307) 335-6719

Other identifiers 3

IdentifierTypeStateIssuer
100180900MedicaidWY
2111516OtherPK
100180901MedicaidWY

Other names 1

  • WYOMING STATE TRAINING SCHOOL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wy Public HLTH Lab11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1023154564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 STATE HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202941",
            "telephone_number": "307-335-6719",
            "fax_number": "307-335-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 STATE HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202941",
            "telephone_number": "307-335-6719",
            "fax_number": "307-335-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "KULOW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "307-335-6762"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WY",
            "license": "5202926IP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111516",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180901",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYOMING STATE TRAINING SCHOOL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.