NPIMap

Organization Active NPI

University of Wyoming

  • Pharmacy
  • Casper, WY
National Provider Identifier
1104394907
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UNIVERSITY OF WYOMING
Practice address
1522 E a St
Casper, WY 82601-2217
Phone
(307) 265-4446
Fax
(307) 472-2881
NPI assigned
Nov 9, 2018
Organization subpart
Yes
Parent organization
UNIVERSITY OF WYOMINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Lyle D Svoboda
Title
Clinic Director
Phone
(307) 232-6079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1522 E a St
Casper, WY 82601-2217

Mailing address

1522 E a St
Casper, WY 82601-2217
Phone (307) 232-6079

Other names 1

  • Wyoming Family Practice Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uw Family Practice-Casp11 organizations share this tax ID, including this one
Part of
Uw Family Practice-Casp

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": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1104394907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012217",
            "telephone_number": "307-232-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012217",
            "telephone_number": "307-265-4446",
            "fax_number": "307-472-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WYOMING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WYOMING",
        "enumeration_date": "2018-11-09",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "SVOBODA",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "307-232-6079"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Family Practice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wyoming Family Practice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.