Ricker Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

R10027 Issued in WY

Legal business name

RICKER DRUG INC

Doing business as

Ricker Pharmacy Inc

Practice address

1801 Big Horn Ave
Worland, WY 82401-2912

Phone

(307) 347-2281

Fax

(307) 347-3736

NPI assigned

Aug 31, 2006

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Yule

Title

Owner

Phone

(307) 347-2281

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• RICKER PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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.

• Rory Smith, PHARMD, RPH

  • Pharmacist
  • Worland, WY
  • NPI 1154979649
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1730291659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824010011",
            "telephone_number": "307-347-2281",
            "fax_number": "307-347-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BIG HORN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012912",
            "telephone_number": "307-347-2281",
            "fax_number": "307-347-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "YULE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-347-2281"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "R10027",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106164000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICKER PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elizabeth Radabaugh, D.C.
• James G Randolph, MD
• Krystal Rose Re
• Red Rock Family Practice, Inc
• Red Rock Family Practice, Inc
• David Bruce Robertson, R.PH.
• Fee Rocha
• Christian L Roessing
• Lorinda Roessing
• Danielle A Ross

• Community/Retail Pharmacy in Worland, WY
• Providers in Worland, WY by specialty
• Community/Retail Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.