Active NPI
Jennifer Mary Baca
- Pharmacy Technician
- Bar Nunn, WY
National Provider Identifier
1205742004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 1695T
- Practice address
- 2028 Omaha TRL
Bar Nunn, WY 82601-7603 - Phone
- (307) 262-6150
- NPI assigned
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 1695T | WY | Primary |
Addresses
Primary practice location
2028 Omaha TRL
Bar Nunn, WY 82601-7603
Mailing address
2028 Omaha TRL
Bar Nunn, WY 82601-7603
Other names 1
- Jennifer Mary Clanachan
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1205742004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 OMAHA TRL",
"city": "BAR NUNN",
"state": "WY",
"postal_code": "826017603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 OMAHA TRL",
"city": "BAR NUNN",
"state": "WY",
"postal_code": "826017603",
"telephone_number": "307-262-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WY",
"license": "1695T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CLANACHAN",
"middle_name": "MARY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bar Nunn, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.