Active NPI
Sydney Simon, PHARMD
- Pharmacist
- Cody, WY
National Provider Identifier
1922586593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4090
- Practice address
- 1585 Sheridan Ave
Cody, WY 82414-3819 - Phone
- (307) 587-2017
- NPI assigned
- Aug 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60867119 | WA | |
| Pharmacist | 183500000X | 4090 | WY | Primary |
Addresses
Primary practice location
1585 Sheridan Ave
Cody, WY 82414-3819
Mailing address
3 Oak Dr
Cody, WY 82414-8200
Phone (303) 818-9156
Other practice location 1
412 E College Way
Mount Vernon, WA 98273-5516
Phone (360) 424-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60867119 | WA | MD | Pharmacist |
| 4090 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Locations
1585 Sheridan Ave
Cody, WY 82414
Phone (307) 587-2017
Organizations & group practices 4
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.
-
- Pharmacy
- Cody, WY
- NPI 1538398904
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Mt Vernon, WA
- NPI 1881703106
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1922586593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OAK DR",
"city": "CODY",
"state": "WY",
"postal_code": "824148200",
"telephone_number": "303-818-9156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 SHERIDAN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143819",
"telephone_number": "307-587-2017"
}
],
"practiceLocations": [
{
"address_1": "412 E College Way",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982735516",
"country_code": "US",
"telephone_number": "360-424-7958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "SYDNEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-05",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60867119",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.