Organization Active NPI

Pharmacists Improving Lives Inc

  • Community/Retail Pharmacy
  • Powell, WY
National Provider Identifier
1215078241
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
52-00718 Issued in WY
Legal business name
PHARMACISTS IMPROVING LIVES INC
Practice address
140 N Bent St
Powell, WY 82435
Phone
(307) 754-2031
Fax
(307) 754-4859
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
David W Klingler, PHARMACISTNPI 1780558346
Title
Owner
Phone
(307) 754-2031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 52-00718 WY Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

140 N Bent St
Powell, WY 82435

Mailing address

140 N Bent St
Powell, WY 82435-2712
Phone (307) 754-2031

Other identifiers 1

IdentifierTypeStateIssuer
130595600MedicaidWY

Other names 2

  • POWELL DRUG INC Doing business as
  • Powell Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180830000561 WY DME Supplier - Pharmacy 9436409158 Practice locations: Powell, WY
O20200326000932 WY Part B Supplier - Pharmacy 9436409158 Practice locations: Powell, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2164405Powell Drug140 N Bent St, Powell, WY 82435Certificate of waiverApr 3, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Powell Drug140 N Bent St, Powell, WY 82435-2712(307) 754-2031 Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since May 17, 2018

National Provider Directory

National Provider Directory

Locations

140 N Bent St
Powell, WY 82435
Phone (307) 754-2031

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1215078241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N BENT ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352712",
            "telephone_number": "307-754-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N BENT ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "82435",
            "telephone_number": "307-754-2031",
            "fax_number": "307-754-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACISTS IMPROVING LIVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "KLINGLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-754-2031",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "52-00718",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130595600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POWELL DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Powell Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.