Individual provider Active NPI

Nancy Korenke, R.PH.

  • Pharmacist
  • Casper, WY
National Provider Identifier
1669469466
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1852 Issued in WY
Practice address
4255 Cy Ave
Casper, WY 82604-4247
Phone
(307) 232-9605
Fax
(307) 232-9607
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1852 WY Primary

Addresses

Primary practice location

4255 Cy Ave
Casper, WY 82604-4247

Mailing address

4255 Cy Ave
Casper, WY 82604-4247
Phone (307) 232-9605

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1669469466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 CY AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044247",
            "telephone_number": "307-232-9605",
            "fax_number": "307-232-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 CY AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044247",
            "telephone_number": "307-232-9605",
            "fax_number": "307-232-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENKE",
        "first_name": "NANCY",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "1852",
            "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 Oct 1, 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.