Active NPI
Courtney Cleckler, PHARMD
- Pharmacist
- Evanston, WY
National Provider Identifier
1225753486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4426
- Practice address
- 125 N 2ND St
Evanston, WY 82930-3672 - Phone
- (307) 789-0020
- NPI assigned
- Oct 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4426 | WY | Primary |
Addresses
Primary practice location
125 N 2ND St
Evanston, WY 82930-3672
Mailing address
126 Westview CT
Evanston, WY 82930-3073
Phone (912) 660-3877
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4426 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1225753486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 WESTVIEW CT",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303073",
"telephone_number": "912-660-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 2ND ST",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303672",
"telephone_number": "307-789-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLECKLER",
"first_name": "COURTNEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.