Professional Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52-03120 Issued in WY

Legal business name

PROFESSIONAL PHARMACY, INC.

Doing business as

Valley Pharmacy

Practice address

101 Constitution Ave.
Saratoga, WY 82331

Phone

(307) 326-5129

Fax

(307) 326-5165

NPI assigned

Feb 8, 2007

Last updated

Feb 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rod Waeckerlin

Title

Owner/RPH

Phone

(307) 320-8482

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Valley Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robyn Miller, PHARMACIES

  • Pharmacist
  • Saratoga, WY
  • NPI 1285561969
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1316087299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310683",
            "fax_number": "307-326-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONSTITUTION AVE.",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "82331",
            "telephone_number": "307-326-5129",
            "fax_number": "307-326-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "WAECKERLIN",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "307-320-8482"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "52-03120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111302000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Platte Valley Chiropractic, Inc.
• Platte Valley Clinic Inc.
• Platte Valley Healthcare Project (North Platte Valley Medical Center)
• Platte Valley Medical Clinic PC
• Professional Pharmacy Inc (Valley Pharmacy)
• Ronald F Hoopes LPC
• Saratoga Care Center, LLC
• Saratoga Chiropractic PC
• Scott Dental LLC
• Edwin Kenneth Sheils, PA-C

• Community/Retail Pharmacy in Saratoga, WY
• Providers in Saratoga, WY by specialty
• Community/Retail Pharmacy in Wyoming

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

Verify at the official NPI Registry.