Individual provider Active NPI

Cassandra Stith, PHARMD

  • Ambulatory Care Pharmacist
  • Cheyenne, WY
National Provider Identifier
1043053432
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
3841 Issued in WY
Practice address
800 E 20TH St Ste 350
Cheyenne, WY 82001-3884
Phone
(307) 995-1560
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA.0021265 CO
Ambulatory Care Pharmacist 1835P2201X 3841 WY Primary

Addresses

Primary practice location

800 E 20TH St Ste 350
Cheyenne, WY 82001-3884

Mailing address

800 E 20TH St Ste 350
Cheyenne, WY 82001-3884
Phone (307) 995-1560

Other names 1

  • Cassandra Hardester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHA.0021265COMDPharmacist
3841WYMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1043053432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 20TH ST STE 350",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013884",
            "telephone_number": "307-995-1560",
            "fax_number": "307-996-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 20TH ST STE 350",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013884",
            "telephone_number": "307-995-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITH",
        "first_name": "CASSANDRA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0021265",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WY",
            "license": "3841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "HARDESTER",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.