Camilla Hancock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

4200 Issued in WY

Practice address

405 W C St
Basin, WY 82410-5052

Phone

(307) 568-3636

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Basin Pharmacy LLC

  • Long Term Care Pharmacy
  • Basin, WY
  • NPI 1902767734
  NPD
• Basin Pharmacy LLC

  • Community/Retail Pharmacy
  • Basin, WY
  • NPI 1518978014
  NPD (past)

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1851062079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 ROAD 16 1/2",
            "city": "OTTO",
            "state": "WY",
            "postal_code": "824349714",
            "telephone_number": "307-271-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W C ST",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824105052",
            "telephone_number": "307-568-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "CAMILLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cloud Peak Counseling Center
• Debbie Lee Crist, MS CCCSLP
• Deborah Ann Franko Lane, R.N.
• Mary Freund, NP
• Guardian Flight LLC
• Rachel A Hedtke, DPT
• Beth Michele Hefenieder, MS, SLP-CCC
• Hot Springs County Hospital District
• Darwin L Irvine, MA, LPC, LAT
• Deborah Collins Jones

• Pharmacist in Basin, WY
• Providers in Basin, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.