NPIMap

Organization Active NPI

Rawhide Drug LLC

Doing business as Rawhide Drug Company

  • Pharmacy
  • Lusk, WY
National Provider Identifier
1508060153
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
R10029 Issued in WY
Legal business name
RAWHIDE DRUG LLC
Doing business as
Rawhide Drug Company
Practice address
232 S Main Street
Lusk, WY 82225
Phone
(307) 334-3132
Fax
(307) 334-2026
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Vickilee Knight EinhelligNPI 1578650289
Title
Managing Partner
Phone
(970) 461-1975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X R10029 WY Primary

Addresses

Primary practice location

232 S Main Street
Lusk, WY 82225

Mailing address

3780 E 15TH Street
Suite 102
Loveland, CO 80538
Phone (970) 461-1975

Other names 1

  • Rawhide Drug Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819003039 WY Part B Supplier - Pharmacy 8325579626 Practice locations: Lusk, WY

National Provider Directory

National Provider Directory
Tax ID family
Rawhide Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the 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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1508060153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 E 15TH STREET",
            "address_2": "SUITE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-461-1975",
            "fax_number": "970-461-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S MAIN STREET",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "82225",
            "telephone_number": "307-334-3132",
            "fax_number": "307-334-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAWHIDE DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "EINHELLIG",
        "authorized_official_first_name": "VICKILEE",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "970-461-1975"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "R10029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rawhide Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rawhide Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lusk, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.