Active NPI
Brett Kvenild, R.PH.
- Pharmacist
- Laramie, WY
National Provider Identifier
1659369668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2940
- Practice address
- 4005 E Grand Ave
Laramie, WY 82070-5161 - Phone
- (307) 745-1557
- Fax
- (307) 742-0787
- NPI assigned
- Oct 12, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2940 | WY | Primary |
| Pharmacist | 183500000X | PH00040684 | WA |
Addresses
Primary practice location
4005 E Grand Ave
Laramie, WY 82070-5161
Mailing address
1527 E Custer St
Laramie, WY 82070-4217
Phone (307) 721-6988
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00040684 | WA | MD | Pharmacist |
| 2940 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pole Mountain Pharmacy LLC | Current | Accepting new patients | |
| Valley Pharmacy, LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pole Mountain Pharmacy
- Community/Retail Pharmacy
- Laramie, WY
- NPI 1013422971
-
- Community/Retail Pharmacy
- Saratoga, WY
- NPI 1861344392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659369668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 E CUSTER ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820704217",
"telephone_number": "307-721-6988",
"fax_number": "307-742-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 E GRAND AVE",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705161",
"telephone_number": "307-745-1557",
"fax_number": "307-742-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVENILD",
"first_name": "BRETT",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2940",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00040684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.