NPIMap

Organization Active NPI

Glenrock Hsopital District

  • Community/Retail Pharmacy
  • Glenrock, WY
National Provider Identifier
1487047122
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GLENROCK HSOPITAL DISTRICT
Practice address
925 West Birch
Glenrock, WY 82637-0786
Phone
(307) 436-9206
Fax
(307) 436-9730
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Mrs. Ashley Marie Oviedo-Lopez, FNPC
Title
Administrator
Phone
(307) 436-9206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X WY Primary

Addresses

Primary practice location

925 West Birch
Glenrock, WY 82637-0786

Mailing address

PO Box 786
Glenrock, WY 82637-0786
Phone (307) 436-9206

Other identifiers 1

IdentifierTypeStateIssuer
139672200MedicaidWY

Other names 1

  • Clinic Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Glenrock Diag Trtmnt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1487047122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WEST BIRCH",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENROCK HSOPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2025-04-03",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "OVIEDO-LOPEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-436-9206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139672200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Clinic Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 3, 2025; 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.