Individual provider Active NPI

Andrea Lien

  • Pharmacist
  • Glenrock, WY
National Provider Identifier
1285019075
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3831 Issued in WY
Practice address
925 W Birch St
Glenrock, WY 82637-5079
Phone
(307) 436-7116
Fax
(307) 436-3412
NPI assigned
Jul 22, 2015
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3831 WY Primary

Addresses

Primary practice location

925 W Birch St
Glenrock, WY 82637-5079

Mailing address

PO Box 786
Glenrock, WY 82637-0786
Phone (307) 436-7116

Other practice location 1

2405 Cy Ave
Casper, WY 82604-3444
Phone (307) 266-6250

Other practice location 2

190 SE Wyoming Blvd
Casper, WY 82609-1906
Phone (307) 234-4698

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

LicenseStateTypeSpecialty
3831WYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiths Food & Drug Centers Inc PastSince Mar 1, 2021 Accepting new patients
Smith's Food & Drug Centers Inc PastSince Mar 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1285019075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W BIRCH ST",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826375079",
            "telephone_number": "307-436-7116",
            "fax_number": "307-436-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Cy Ave",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826043444",
            "country_code": "US",
            "telephone_number": "307-266-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 SE Wyoming Blvd",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826091906",
            "country_code": "US",
            "telephone_number": "307-234-4698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEN",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenrock, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.