Individual provider Active NPI

Monte William Straley, RPH

  • Pharmacist
  • Newcastle, WY
National Provider Identifier
1740424332
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3407 Issued in WY
Practice address
727 A Washington Blvd
Newcastle, WY 82701
Phone
(307) 746-2425
Fax
(307) 746-3724
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3407 WY Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X P4942 ID
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X CS5612 ID

Addresses

Primary practice location

727 A Washington Blvd
Newcastle, WY 82701

Mailing address

727A Washington Blvd
Newcastle, WY 82701
Phone (307) 746-2425

Other identifiers 3

IdentifierTypeStateIssuer
3407OtherWYWYOMING BOARD OF PHARMACY
CS5612OtherIDIDAHO STATE BOARD OF PHARMACY
P4942OtherIDIDAHO STATE BOARD OF PHARMACY

Other names 1

  • Mr. Monte W Straley Professional name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3407WYMDPharmacist
CS5612IDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P4942IDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1740424332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727A WASHINGTON BLVD",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "82701",
            "telephone_number": "307-746-2425",
            "fax_number": "307-746-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 A WASHINGTON BLVD",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "82701",
            "telephone_number": "307-746-2425",
            "fax_number": "307-746-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRALEY",
        "first_name": "MONTE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3407",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ID",
            "license": "P4942",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ID",
            "license": "CS5612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING BOARD OF PHARMACY",
            "identifier": "3407",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE BOARD OF PHARMACY",
            "identifier": "CS5612",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE BOARD OF PHARMACY",
            "identifier": "P4942",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTE",
            "last_name": "STRALEY",
            "middle_name": "W",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newcastle, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.