Organization Active NPI

Pharmakon Solutions, LLC

  • Clinical Medical Laboratory
  • Cheyenne, WY
National Provider Identifier
1417353517
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHARMAKON SOLUTIONS, LLC
Practice address
1621 Central Ave
Cheyenne, WY 82001-4531
Phone
(949) 637-9328
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Kirk A Odom
Title
Manager
Phone
(949) 637-9328

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1621 Central Ave
Cheyenne, WY 82001-4531

Mailing address

1621 Central Ave
Cheyenne, WY 82001-4531
Phone (949) 637-9328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1417353517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CENTRAL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531",
            "telephone_number": "949-637-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CENTRAL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531",
            "telephone_number": "949-637-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAKON SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-637-9328"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "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 Aug 19, 2015; 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.