Vicklund Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

R10114 Issued in WY

Legal business name

VICKLUND INC.

Doing business as

Hot Springs Pharmacy

Practice address

610 S 6TH St
Thermopolis, WY 82443-3202

Phone

(307) 864-2369

Fax

(307) 864-9202

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Joseph DeromediNPI 1730256157

Title

President

Phone

(307) 760-5192

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hot Springs Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Joseph Deromedi, PHARM.D.

  • Pharmacist
  • Thermopolis, WY
  • NPI 1730256157
  NPD Authorized official
• Benjamin Vanheule, RPH

  • Pharmacist
  • Thermopolis, WY
  • NPI 1336557354
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1649382565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S 6TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824433202",
            "telephone_number": "307-864-2369",
            "fax_number": "307-864-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S 6TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824433202",
            "telephone_number": "307-864-2369",
            "fax_number": "307-864-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKLUND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "DEROMEDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-760-5192"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "R10114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TLC Counseling LLC
• Gwen Treese
• Robin M Van Maarth, L.AC.
• Benjamin Vanheule, RPH
• Vernon W. Miller M.D., P.C.
• Jason Christopher Weyer, D.O.
• Laura Wilkinson, SLP
• William H and Carrie Gottsche Foundation (Gottsche Rehabilitation Center)
• Ryan J Williams, DPT
• Tess Williams, PT, DPT, CLT

• Pharmacy in Thermopolis, WY
• Providers in Thermopolis, WY by specialty
• Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.