Active NPI
Upton Pharmacy
- Community/Retail Pharmacy
- Upton, WY
National Provider Identifier
1851997076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- UPTON PHARMACY
- Practice address
- 717 Pine St.
Upton, WY 82730 - Phone
- (307) 746-3775
- NPI assigned
- Dec 11, 2020
- Organization subpart
- Yes
- Parent organization
- WESTON COUNTY HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tavis Weidenbach
- Title
- Pharmacy Manager
- Phone
- (307) 746-3742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
717 Pine St.
Upton, WY 82730
Mailing address
1124 Washington Blvd
Newcastle, WY 82701-2972
National Provider Directory
National Provider Directory- Tax ID family
- Weston County Hospital Dist
- Part of
- Weston County Hospital Dist
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Newcastle, WY
- NPI 1063579654
-
- Skilled Nursing Facility
- Newcastle, WY
- NPI 1497812077
-
- Rural Health Clinic/Center
- Upton, WY
- NPI 1588230015
-
- Community/Retail Pharmacy
- Newcastle, WY
- NPI 1649660671
-
- Case Management Agency
- Newcastle, WY
- NPI 1669539235
-
- Pharmacy
- Newcastle, WY
- NPI 1164812475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1851997076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 WASHINGTON BLVD",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827012972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 PINE ST.",
"city": "UPTON",
"state": "WY",
"postal_code": "82730",
"telephone_number": "307-746-3775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTON PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTON COUNTY HOSPITAL DISTRICT",
"enumeration_date": "2020-12-11",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "WEIDENBACH",
"authorized_official_first_name": "TAVIS",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "307-746-3742"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.