Active NPI
Star Valley Drug Co
Doing business as Valley Pharmacy
- Pharmacy
- Afton, WY
National Provider Identifier
1437252582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- STAR VALLEY DRUG CO
- Doing business as
- Valley Pharmacy
- Practice address
- 439 Washington
Afton, WY 83110-0099 - Phone
- (307) 885-9804
- Fax
- (307) 885-9760
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Stauffer
- Title
- President
- Phone
- (307) 885-9804
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5200059 | WY | |
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
439 Washington
Afton, WY 83110-0099
Mailing address
PO Box 99
Afton, WY 83110-0099
Phone (307) 885-9804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5200059 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- VALLEY PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Lower Valley Drug
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1437252582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "AFTON",
"state": "WY",
"postal_code": "831100099",
"telephone_number": "307-885-9804",
"fax_number": "307-885-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 WASHINGTON",
"city": "AFTON",
"state": "WY",
"postal_code": "831100099",
"telephone_number": "307-885-9804",
"fax_number": "307-885-9760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR VALLEY DRUG CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "STAUFFER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-885-9804"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WY",
"license": "5200059",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5200059",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Afton, WY
- Allen Boyd Simpson, MOTR/L
- Star Valley Chiropractic, P.C.
- Star Valley Chiropractic,P.C.
- Star Valley Dental 1 LLC
- Star Valley Dental LLC
- Star Valley Healthcare, Inc. (Symbii Home Health)
- Star Valley Healthcare, Inc. (Symbii Hospice)
- Star Valley Medical Supply LLC
- Star Valley Senior Center Inc
- Starshine Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.