Dave's Drug Partnership

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

R10004 Issued in WY

Legal business name

DAVE'S DRUG PARTNERSHIP

Doing business as

dave's home oxygen

Practice address

1452 Johnston St
Wheatland, WY 82201-3232

Phone

(307) 322-3425

Fax

(307) 322-3719

NPI assigned

May 10, 2007

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Michael Burke, RPH

Title

Partner Pharmacist in Charge

Phone

(307) 322-3425

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• dave's home oxygen Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1972717577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 JOHNSTON ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013232",
            "telephone_number": "307-322-3425",
            "fax_number": "307-322-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 JOHNSTON ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013232",
            "telephone_number": "307-322-3425",
            "fax_number": "307-322-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE'S DRUG PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "307-322-3425",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WY",
            "license": "R10004",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "R10004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066200-01",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dave's home oxygen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Oxygen Equipment & Supplies (DME) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.