Dale Warren Van Wig, R. PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

3619TL Issued in WY

Practice address

544 N. Third St
Pharmacy
Laramie, WY 82070

Phone

(307) 745-4224

NPI assigned

Sep 5, 2013

Last updated

Sep 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1447685706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SUNDANCE LN",
            "address_2": "APT. 516",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820728717",
            "telephone_number": "307-766-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 N. THIRD ST",
            "address_2": "PHARMACY",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82070",
            "telephone_number": "307-745-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WIG",
        "first_name": "DALE",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3619TL",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantelle Madaline Valencia Lemus, BSN, RN
• Nathan Valencia Still, D.O.
• Laramie Valle
• Alexis Vallier
• Kendra Vallier
• Annette Vanbaalen, MD
• Brenda R Vance, PA-C
• Jill S Vancleave, PHARM.D.
• Jeremy Whitfield Vandiver, PHARMD
• Justin D Vanlandingham, PPC

• Pharmacist in Laramie, WY
• Providers in Laramie, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.