Rock Springs I.V. Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

52-03156 Issued in WY

Legal business name

ROCK SPRINGS I.V. INC.

Practice address

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

Phone

(307) 382-3544

Fax

(307) 382-0987

NPI assigned

Sep 29, 2006

Last updated

Apr 7, 2025By 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

Mr. Gary Gene Pedri, R.PH.NPI 1023234622

Title

Pharmacist in Charge Owner

Phone

(307) 382-3544

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Tax ID family

Rock Springs IV Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rock Springs I.V. Inc.

  dba Rock Springs IV DME

  • Durable Medical Equipment & Medical Supplies
  • Rock Springs, WY
  • NPI 1336933134
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Rock Springs I.V. Inc.

  dba Rock Springs IV DME

  • Durable Medical Equipment & Medical Supplies
  • Rock Springs, WY
  • NPI 1336933134
  NPPES parent name

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.

• Gary G Pedri, RPH

  • Pharmacist
  • Rock Springs, WY
  • NPI 1023234622
  NPD (past) Authorized official
• Brooke Danielle Millemon, PHARM D.

  • Pharmacist
  • Rock Springs, WY
  • NPI 1972626604
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1346332970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 2ND ST",
            "address_2": "SUITE 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",
            "address_2": "SUITE 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": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PEDRI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "GENE",
        "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": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "WY",
            "license": "52-03156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113201601",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807308",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Therapy Pharmacy in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Home Infusion Therapy Pharmacy in Wyoming

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.