Greybull Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREYBULL DRUG

Practice address

925 N 6TH St
Greybull, WY 82426-1610

Phone

(307) 765-4601

Fax

(307) 765-4600

NPI assigned

Feb 9, 2019

Organization subpart

No

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

Authorized official

Name

Ross A. Davidson, PHARMDNPI 1710453956

Title

Registered Agent

Phone

(307) 921-1228

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Ross A Davidson, PHARMD

  • Pharmacist
  • Greybull, WY
  • NPI 1710453956
  NPD Authorized official
• Brandon Winters Tolman, PHARMD

  • Pharmacist
  • Greybull, WY
  • NPI 1215330626
  NPD

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1396200770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N 6TH ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824261610",
            "telephone_number": "307-765-4601",
            "fax_number": "307-765-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N 6TH ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824261610",
            "telephone_number": "307-765-4601",
            "fax_number": "307-765-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYBULL DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "307-921-1228",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153618400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Greybull, WY
• Providers in Greybull, WY by specialty
• Community/Retail Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.