Active NPI
Tyler Jake Stromberg
- Pharmacist
- Cheyenne, WY
National Provider Identifier
1154936110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4243
- Practice address
- 1501 Dell Range Blvd
Cheyenne, WY 82009-4853 - Phone
- (307) 635-5854
- NPI assigned
- Sep 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4243 | WY | Primary |
Addresses
Primary practice location
1501 Dell Range Blvd
Cheyenne, WY 82009-4853
Mailing address
2218 Hummingbird TRL
Cheyenne, WY 82009-9179
Phone (432) 213-2394
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4243 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1501 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 635-5854
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Cheyenne, WY
- NPI 1215942396
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1154936110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 HUMMINGBIRD TRL",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820099179",
"telephone_number": "432-213-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 DELL RANGE BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094853",
"telephone_number": "307-635-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMBERG",
"first_name": "TYLER",
"middle_name": "JAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4243",
"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 Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.