Individual provider Active NPI

Karen A Jepson, RPH

  • Pharmacist
  • Cheyenne, WY
National Provider Identifier
1366734329
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00015797 Issued in WA
Practice address
5353 Yellowstone Rd
#309
Cheyenne, WY 82009-4178
Phone
(307) 433-3695
Fax
(303) 370-1669
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00015797 WA Primary

Addresses

Primary practice location

5353 Yellowstone Rd
#309
Cheyenne, WY 82009-4178

Mailing address

5353 Yellowstone Rd
#309
Cheyenne, WY 82009-4178
Phone (307) 433-3695

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

LicenseStateTypeSpecialty
00015797WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1366734329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 YELLOWSTONE RD",
            "address_2": "#309",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094178",
            "telephone_number": "307-433-3695",
            "fax_number": "303-370-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 YELLOWSTONE RD",
            "address_2": "#309",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094178",
            "telephone_number": "307-433-3695",
            "fax_number": "303-370-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSON",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "00015797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.