Active NPI
Laurel Peden, RPH PHARM.D.
- Pharmacist
- Cheyenne, WY
National Provider Identifier
1134535636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3749
- Practice address
- 5353 Yellowstone Rd
Cheyenne, WY 82009-4178 - Phone
- (307) 778-7550
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0020357 | CO | |
| Pharmacist | 183500000X | 3749 | WY | Primary |
Addresses
Primary practice location
5353 Yellowstone Rd
Cheyenne, WY 82009-4178
Mailing address
PO Box 20330
Cheyenne, WY 82003-7033
Phone (307) 778-7550
Other practice location 1
460 S College Ave
Fort Collins, CO 80524-2992
Phone (970) 484-9534
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020357 | CO | MD | Pharmacist |
| 3749 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1134535636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20330",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037033",
"telephone_number": "307-778-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 YELLOWSTONE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094178",
"telephone_number": "307-778-7550"
}
],
"practiceLocations": [
{
"address_1": "460 S College Ave",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805242992",
"country_code": "US",
"telephone_number": "970-484-9534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDEN",
"first_name": "LAUREL",
"name_prefix": "Dr.",
"credential": "RPH PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0020357",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.