Organization Active NPI

Pole Mountain Pharmacy LLC

Doing business as Pole Mountain Pharmacy LTC

  • Long Term Care Pharmacy
  • Laramie, WY
National Provider Identifier
1700708203
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
POLE MOUNTAIN PHARMACY LLC
Doing business as
Pole Mountain Pharmacy LTC
Practice address
319 E Harney St
Laramie, WY 82072-2523
Phone
(307) 460-4080
Fax
(307) 460-4082
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Brett Kvenild, RPH
Title
Member
Phone
(307) 460-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

319 E Harney St
Laramie, WY 82072-2523

Mailing address

319 E Harney St
Laramie, WY 82072-2523
Phone (307) 460-4080

Other names 1

  • Pole Mountain Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pole Mountain Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1700708203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E HARNEY ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722523",
            "telephone_number": "307-460-4080",
            "fax_number": "307-460-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E HARNEY ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722523",
            "telephone_number": "307-460-4080",
            "fax_number": "307-460-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLE MOUNTAIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "KVENILD",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "307-460-4080",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pole Mountain Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 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.