Organization Active NPI

Hna Inc.

Doing business as Jubilee Pharmacy

  • Pharmacy
  • Evanston, WY
National Provider Identifier
1851327472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5202635 Issued in WY
Legal business name
HNA INC.
Doing business as
Jubilee Pharmacy
Practice address
524 Front St
Evanston, WY 82930-3577
Phone
(307) 789-3494
Fax
(307) 789-5554
NPI assigned
Jun 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry ObergNPI 1760533137
Title
Pharmacy Manager
Phone
(307) 789-3494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5202635 WY Primary

Addresses

Primary practice location

524 Front St
Evanston, WY 82930-3577

Mailing address

524 Front St
PO Box 1300
Evanston, WY 82930-3577
Phone (307) 789-3494

Other names 1

  • JUBILEE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hna Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

524 Front St
Evanston, WY 82930
Phone (307) 789-3494

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851327472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 FRONT ST",
            "address_2": "PO BOX 1300",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303577",
            "telephone_number": "307-789-3494",
            "fax_number": "307-789-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 FRONT ST",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303577",
            "telephone_number": "307-789-3494",
            "fax_number": "307-789-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HNA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "307-789-3494"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "5202635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUBILEE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.