NPIMap

Organization Active NPI

DLN PC

Doing business as Town and Country Pharmacy

  • Community/Retail Pharmacy
  • Cheyenne, WY
National Provider Identifier
1942527080
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
R10060 Issued in WY
Legal business name
DLN PC
Doing business as
Town and Country Pharmacy
Practice address
514 S Greeley Hwy
Cheyenne, WY 82007-2852
Phone
(307) 634-6662
Fax
(307) 634-6670
NPI assigned
Apr 29, 2010
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
David NovickNPI 1881037232
Title
Owner
Phone
(307) 634-6662

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X R10060 WY Primary

Addresses

Primary practice location

514 S Greeley Hwy
Cheyenne, WY 82007-2852

Mailing address

514 S Greeley Hwy
Cheyenne, WY 82007-2852
Phone (307) 634-6662

Other identifiers 2

IdentifierTypeStateIssuer
5204297OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1942527080MedicaidWY

Other names 1

  • Town and Country Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1942527080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S GREELEY HWY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072852",
            "telephone_number": "307-634-6662",
            "fax_number": "307-634-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S GREELEY HWY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072852",
            "telephone_number": "307-634-6662",
            "fax_number": "307-634-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-634-6662"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "R10060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5204297",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942527080",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town and Country Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.