Organization Active NPI

Rawhide Drug LLC

  • Long Term Care Pharmacy
  • Lusk, WY
National Provider Identifier
1124779392
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RAWHIDE DRUG LLC
Practice address
232 S Main St
Lusk, WY 82225-5089
Phone
(307) 334-3132
NPI assigned
Jan 10, 2022
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Heather Robinson
Title
Compliance MGR.
Phone
(970) 481-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

232 S Main St
Lusk, WY 82225-5089

Mailing address

3780 E 15TH St Ste 102
Loveland, CO 80538-8768
Phone (970) 481-9668

National Provider Directory

National Provider Directory
Tax ID family
Rawhide Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1124779392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 E 15TH ST STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388768",
            "telephone_number": "970-481-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S MAIN ST",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822255089",
            "telephone_number": "307-334-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAWHIDE DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "COMPLIANCE MGR.",
        "authorized_official_telephone_number": "970-481-9668"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lusk, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.