Active NPI
Benjamin Vanheule, RPH
- Pharmacist
- Thermopolis, WY
National Provider Identifier
1336557354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3762
- Practice address
- 610 S 6TH St
Thermopolis, WY 82443-3202 - Phone
- (307) 864-2369
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- 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 | 3762 | WY | Primary |
Addresses
Primary practice location
610 S 6TH St
Thermopolis, WY 82443-3202
Mailing address
610 S 6TH St
Thermopolis, WY 82443-3202
Phone (307) 864-2369
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3762 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicklund Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1336557354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S 6TH ST",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433202",
"telephone_number": "307-864-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S 6TH ST",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433202",
"telephone_number": "307-864-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHEULE",
"first_name": "BENJAMIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thermopolis, WY
- Thermopolis Health Care, Inc
- Thermopolis SNF Operations, LLC (Thermopolis Rehabilitation and Wellness)
- TLC Counseling LLC
- Gwen Treese
- Robin M Van Maarth, L.AC.
- Vernon W. Miller M.D., P.C.
- Vicklund Inc. (Hot Springs Pharmacy)
- Jason Christopher Weyer, D.O.
- Laura Wilkinson, SLP
- William H and Carrie Gottsche Foundation (Gottsche Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.