Jaime Osmanski
Individual provider Active NPI Pharmacist · Casper, WY
NPI 1912450651 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1912450651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3761 (WY)
- Practice address
- 2405 Cy Ave
Casper, WY 82604-3444 - Phone
- (307) 266-6250
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 5677 | ND | MD | Pharmacist |
| 3761 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3761 | WY | Yes |
| Pharmacist | 183500000X | RPH 5677 | ND |
Addresses
Primary practice location
2405 Cy Ave
Casper, WY 82604-3444
Mailing address
2405 Cy Ave
Casper, WY 82604-3444
Other names
- Jaime Rue
NPI Registry JSON
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1912450651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 CY AVE",
"city": "CASPER",
"state": "WY",
"postal_code": "826043444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 CY AVE",
"city": "CASPER",
"state": "WY",
"postal_code": "826043444",
"telephone_number": "307-266-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMANSKI",
"first_name": "JAIME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3761",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH 5677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "RUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.