Organization Active NPI

Spamony20 LLC

Doing business as Corner Stone Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, WY
National Provider Identifier
1710535216
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPAMONY20 LLC
Doing business as
Corner Stone Pharmacy
Practice address
150 E Hart St
Buffalo, WY 82834-1705
Phone
(307) 620-7071
NPI assigned
Aug 28, 2019
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Chadwick Bardwell SommersNPI 1871003483
Title
Pharm D/Owner/Pic
Phone
(307) 620-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

150 E Hart St
Buffalo, WY 82834-1705

Mailing address

150 E Hart St
Buffalo, WY 82834-1705
Phone (307) 620-7071

Other identifiers 1

IdentifierTypeStateIssuer
WY20578MedicaidWY

Other names 1

  • Corner Stone Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120001321 WY Part B Supplier - Mass Immunization (Roster Biller Only) 5193136281 Practice locations: Buffalo, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2191465Corner Stone Pharmacy150 E Hart St, Buffalo, WY 82834Certificate of waiverAug 26, 2026

National Provider Directory

National Provider Directory

Locations

150 E Hart St
Buffalo, WY 82834
Phone (307) 620-7071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1710535216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E HART ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341705",
            "telephone_number": "307-620-7071",
            "fax_number": "307-278-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HART ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341705",
            "telephone_number": "307-620-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAMONY20 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "SOMMERS",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_middle_name": "BARDWELL",
        "authorized_official_title_or_position": "PHARM D/OWNER/PIC",
        "authorized_official_telephone_number": "307-620-7071"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WY20578",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Stone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.