Express Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

5203485 Issued in WY

Legal business name

EXPRESS PHARMACY

Practice address

4005 E Grand Ave
Laramie, WY 82070-5161

Phone

(307) 745-1557

Fax

(307) 742-0787

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

David Athey, R.PH.

Title

Owner

Phone

(307) 745-1557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720077837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "EXPRESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATHEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-745-1557",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "5203485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Evans, MS PPC
• Kendra Evans, DPT, PT
• Laila Kenyia Evans
• Keith Evashevski, PSY.D.
• Brandon Ewing
• Ethan Faber
• Matthew A Faesser
• Anna Fahy
• Falefatu Faiivae
• Raychl Fairbanks

• Pharmacy in Laramie, WY
• Providers in Laramie, WY by specialty
• Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.