NPIMap

Organization Active NPI

Kmart Pharmacy

  • Community/Retail Pharmacy
  • Casper, WY
National Provider Identifier
1619386901
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2889 Issued in WY
Legal business name
KMART PHARMACY
Practice address
4000 East 2ND
Casper, WY 82609
Phone
(307) 265-1331
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Patrick N MurryNPI 1922402478
Title
Pharmacist
Phone
(307) 265-1331

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2889 WY Primary

Addresses

Primary practice location

4000 East 2ND
Casper, WY 82609

Mailing address

4000 E 2ND St
Casper, WY 82609-2385
Phone (307) 265-1331

National Provider Directory

National Provider Directory

Locations

4000 E 2nd St
Casper, WY 82609
Phone (307) 265-1331

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1619386901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092385",
            "telephone_number": "307-265-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAST 2ND",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609",
            "telephone_number": "307-265-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MURRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "307-265-1331",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.