Active NPI
Yvette Dwyer
- Pharmacist
- Casper, WY
National Provider Identifier
1366822249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3012
- Practice address
- 1071 Cy Ave
Casper, WY 82601-4224 - Phone
- (307) 234-9184
- NPI assigned
- Jun 4, 2015
- Last updated
- Jan 31, 2021
- Sex
- Female
- 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 | 3012 | WY | Primary |
Addresses
Primary practice location
1071 Cy Ave
Casper, WY 82601-4224
Mailing address
4395 Cole Creek
Evansville, WY 82636-4224
Phone (307) 797-0611
Other practice location 1
4600 E 2nd St
Casper, WY 82609-4224
Phone (307) 472-0124
Other practice location 2
4641 Wy Blvd
Casper, WY 82601-4224
Phone (307) 337-1999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmworx LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612051200000",
"number": "1366822249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4395 COLE CREEK",
"city": "EVANSVILLE",
"state": "WY",
"postal_code": "826364224",
"telephone_number": "307-797-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 CY AVE",
"city": "CASPER",
"state": "WY",
"postal_code": "826014224",
"telephone_number": "307-234-9184"
}
],
"practiceLocations": [
{
"address_1": "4600 E 2nd St",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826094224",
"country_code": "US",
"telephone_number": "307-472-0124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4641 WY BLVD",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826014224",
"country_code": "US",
"telephone_number": "307-337-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DWYER",
"first_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2021-01-31",
"certification_date": "2021-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.