Active NPI
Warren Fry Jr.
- Pharmacist
- Cheyenne, WY
National Provider Identifier
1942651369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1973
- Practice address
- 2032 Dell Range Blvd
Cheyenne, WY 82009-4956 - Phone
- (307) 634-7466
- Fax
- (307) 634-0066
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1973 | WY | Primary |
Addresses
Primary practice location
2032 Dell Range Blvd
Cheyenne, WY 82009-4956
Mailing address
2032 Dell Range Blvd
Cheyenne, WY 82009-4956
Phone (307) 634-7466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1973 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1942651369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 DELL RANGE BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094956",
"telephone_number": "307-634-7466",
"fax_number": "307-634-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 DELL RANGE BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094956",
"telephone_number": "307-634-7466",
"fax_number": "307-634-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "WARREN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "1973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.