Active NPI
Anthony Joseph Deromedi, PHARM.D.
- Pharmacist
- Thermopolis, WY
National Provider Identifier
1730256157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3121
- Practice address
- 621 Richards St
Thermopolis, WY 82443-3041 - Phone
- (307) 864-2369
- Fax
- (307) 864-9202
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3121 | WY | Primary |
Addresses
Primary practice location
621 Richards St
Thermopolis, WY 82443-3041
Mailing address
209 West Main
Kirby, WY 82430
Phone (307) 760-5192
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3121 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicklund Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730256157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WEST MAIN",
"city": "KIRBY",
"state": "WY",
"postal_code": "82430",
"telephone_number": "307-760-5192",
"fax_number": "307-864-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 RICHARDS ST",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433041",
"telephone_number": "307-864-2369",
"fax_number": "307-864-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROMEDI",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thermopolis, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.