Organization Active NPI

Deer Creek Drug

  • Pharmacy
  • Glenrock, WY
National Provider Identifier
1407859911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5202471 Issued in WY
Legal business name
DEER CREEK DRUG
Practice address
215 South 4TH Street
Glenrock, WY 82637-0940
Phone
(307) 436-9611
Fax
(307) 436-8933
NPI assigned
May 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel N. Schreiner, R.PH.NPI 1699751602
Title
Partner
Phone
(307) 436-9611

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5202471 WY Primary

Addresses

Primary practice location

215 South 4TH Street
Glenrock, WY 82637-0940

Mailing address

PO Box 940
Glenrock, WY 82637-0940
Phone (307) 436-9611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407859911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370940",
            "telephone_number": "307-436-9611",
            "fax_number": "307-436-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SOUTH 4TH STREET",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370940",
            "telephone_number": "307-436-9611",
            "fax_number": "307-436-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "307-436-9611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "5202471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenrock, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.