Craig A Frederick, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2863 Issued in WY

Practice address

437 West Whalen St
Guernsey, WY 82214-0250

Phone

(307) 836-9270

Fax

(307) 836-9275

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Register Cliff Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Guernsey, WY
  • NPI 1356560742
  NPD (past) Authorized official

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1679048136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "GUERNSEY",
            "state": "WY",
            "postal_code": "822140224",
            "telephone_number": "307-331-0371",
            "fax_number": "307-836-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 WEST WHALEN ST",
            "city": "GUERNSEY",
            "state": "WY",
            "postal_code": "822140250",
            "telephone_number": "307-836-9270",
            "fax_number": "307-836-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Health Physicians West LLC
• Kayla Dockter, M.S. CCC-SLP
• Laurie Jean Ellis, RN, CDCES
• Joyce Evans, M.S.CCC-SLP
• Memorial Hospital of Converse County (Register Cliff Rural Health Clinic)
• Lori Ann Morales
• Platte County Hospital
• Platte County Hospital
• Platte County Hospital

• Pharmacist in Guernsey, WY
• Providers in Guernsey, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.