Thaxton Cook
Individual provider Active NPI Pharmacist · Laramie, WY
NPI 1295669356 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1295669356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4688 (WY)
- Practice address
- 4005 E Grand Ave
Laramie, WY 82070-5161 - Phone
- (307) 745-1557
- Fax
- (307) 742-0787
- NPI assigned
- Jun 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 4688 | WY | Yes |
Addresses
Primary practice location
4005 E Grand Ave
Laramie, WY 82070-5161
Mailing address
1916 E Sheridan St
Laramie, WY 82070-4321
Phone (307) 760-2443
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.