Payless Drug

Primary specialty

PharmacyTaxonomy code 333600000X

License

04000017 Issued in WY

Legal business name

PAYLESS DRUG

Practice address

50 E Flaming Gorge Way
Green River, WY 82935-4210

Phone

(307) 875-2435

Fax

(307) 875-8850

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Larry Hill

Title

Owner

Phone

(307) 875-2435

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1841360922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E FLAMING GORGE WAY",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E FLAMING GORGE WAY",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354210",
            "telephone_number": "307-875-2435",
            "fax_number": "307-875-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-875-2435"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "04000017",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5200439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katelyn Lee Pertile, DPT
• Trudy Peterson

• Pharmacy in Green River, WY
• Providers in Green River, WY by specialty
• Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.