Pharmaceutical Compounding Specialists of Wyoming

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

5282609A Issued in WY

Legal business name

PHARMACEUTICAL COMPOUNDING SPECIALISTS OF WYOMING

Practice address

2546 E 2ND St
BLDG#100
Casper, WY 82609-2062

Phone

(307) 472-0597

Fax

(307) 237-7748

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By 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

Mr. Richard L JohnsonNPI 1487790382

Title

Owner

Phone

(307) 472-0597

Specialties & licenses 1

Addresses

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.

• Richard Leroy Johnson, RPH

  • Pharmacist
  • Casper, WY
  • NPI 1487790382
  Authorized official Same address or phone

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1770744583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST",
            "address_2": "BLDG#100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092062",
            "telephone_number": "307-472-0597",
            "fax_number": "307-237-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST",
            "address_2": "BLDG#100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092062",
            "telephone_number": "307-472-0597",
            "fax_number": "307-237-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACEUTICAL COMPOUNDING SPECIALISTS OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-472-0597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WY",
            "license": "5282609A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Dean Peterson, DDS
• Jessica Ann Peterson, CPNP-PC
• Robert Lee Peterson, PSY.D.
• Archie Maurice Pettry III, M.S.
• Ashleigh Carolyn Petty
• Pharmacy Solutions Inc
• Pharmworx LLC (Medicap - Casper, WY)
• Ilene J Phillips, R.N.
• Sarah Phillips
• Debra Louise Phinney, OTR, LPC

• Compounding Pharmacy in Casper, WY
• Providers in Casper, WY by specialty
• Compounding Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.