Individual provider Active NPI

Brett Kvenild, R.PH.

  • Pharmacist
  • Laramie, WY
National Provider Identifier
1659369668
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2940 Issued in WY
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH00040684WAMDPharmacist
2940WYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.