Organization Active NPI

Rock Springs I.V. Inc.

Doing business as Rock Springs IV DME

  • Durable Medical Equipment & Medical Supplies
  • Rock Springs, WY
National Provider Identifier
1336933134
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROCK SPRINGS I.V. INC.
Doing business as
Rock Springs IV DME
Practice address
400 2ND St Ste a-1
Rock Springs, WY 82901-6260
Phone
(307) 382-3544
Fax
(307) 382-0987
NPI assigned
Apr 7, 2025
Organization subpart
Yes
Parent organization
ROCK SPRINGS I.V. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Mr. Gary Pedri, R.PH.NPI 1023234622
Title
Pharmacist in Charge Owner
Phone
(307) 382-3544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

400 2ND St Ste a-1
Rock Springs, WY 82901-6260

Mailing address

400 2ND St Ste a-1
Rock Springs, WY 82901-6260
Phone (307) 382-3544

Other identifiers 1

IdentifierTypeStateIssuer
113201601MedicaidWY

Other names 1

  • Rock Springs IV DME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rock Springs IV Inc2 organizations share this tax ID, including this one
Part of
Rock Springs IV Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1336933134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 2ND ST STE A-1",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016260",
            "telephone_number": "307-382-3544",
            "fax_number": "307-382-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST STE A-1",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016260",
            "telephone_number": "307-382-3544",
            "fax_number": "307-382-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SPRINGS I.V. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCK SPRINGS I.V. INC.",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PEDRI",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE  OWNER",
        "authorized_official_telephone_number": "307-382-3544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113201601",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Springs IV DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.