Active NPI
Bernadeane B Roth, PHARM D
- Pharmacist
- Sheridan, WY
National Provider Identifier
1407825177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2959
- Practice address
- 1333 W 5TH St
Ste. 107
Sheridan, WY 82801 - Phone
- (307) 673-3188
- NPI assigned
- Mar 16, 2006
- 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 | 2959 | WY | Primary |
Addresses
Primary practice location
1333 W 5TH St
Ste. 107
Sheridan, WY 82801
Mailing address
133 Canvasback Rd
Sheridan, WY 82801-9040
Phone (307) 672-5341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2959 | Other | WY | WYOMING PHARMACY LICENSE |
Other names 1
- Berni, Bernie Roth
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2959 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407825177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 CANVASBACK RD",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828019040",
"telephone_number": "307-672-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W 5TH ST",
"address_2": "STE. 107",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-673-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "BERNADEANE",
"middle_name": "B",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING PHARMACY LICENSE",
"identifier": "2959",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BERNI, BERNIE",
"last_name": "ROTH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.