Organization Active NPI

Community Drug, Inc.

  • Community/Retail Pharmacy
  • Torrington, WY
National Provider Identifier
1346352036
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
52-03497 Issued in WY
Legal business name
COMMUNITY DRUG, INC.
Practice address
900 W Valley Rd
Torrington, WY 82240-3232
Phone
(307) 532-3060
Fax
(307) 532-3390
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Jancy WalterNPI 1124130919
Title
President
Phone
(307) 532-3060

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X WY
Community/Retail Pharmacy 3336C0003X 52-03497 WY Primary

Addresses

Primary practice location

900 W Valley Rd
Torrington, WY 82240-3232

Mailing address

900 W Valley Rd
Torrington, WY 82240-3232
Phone (307) 532-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913000801 WY Part B Supplier - Mass Immunization (Roster Biller Only) 2860605235 Practice locations: Torrington, WY

National Provider Directory

National Provider Directory

Locations

900 W Valley Rd
Torrington, WY 82240
Phone (307) 532-3060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1346352036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403232",
            "telephone_number": "307-532-3060",
            "fax_number": "307-532-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403232",
            "telephone_number": "307-532-3060",
            "fax_number": "307-532-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-532-3060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "52-03497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.