Individual provider Active NPI

Jayden Cole McKay I, PHARMD

  • Pharmacist
  • Cheyenne, WY
National Provider Identifier
1538880299
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4408 Issued in WY
Practice address
7121 Commons Dr
Cheyenne, WY 82009-2651
Phone
(307) 637-4300
Fax
(307) 637-4306
NPI assigned
Sep 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4408 WY Primary

Addresses

Primary practice location

7121 Commons Dr
Cheyenne, WY 82009-2651

Mailing address

1242 Marie LN
Cheyenne, WY 82009-3862
Phone (307) 637-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
4408WYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Infusion, Inc CurrentSince Sep 11, 2022 Accepting new patients
North Star Infusion, Inc PastSince Sep 11, 2022 Accepting new patients

Locations

7121 Commons Dr
Cheyenne, WY 82009
Phone (307) 637-4300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1538880299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 MARIE LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093862",
            "telephone_number": "307-637-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 COMMONS DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092651",
            "telephone_number": "307-637-4300",
            "fax_number": "307-637-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JAYDEN",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4408",
            "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 Sep 9, 2022; 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.