Wyoming Pharmacies LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

WYOMING PHARMACIES LLC

Practice address

443 Spring St
Suite 303
Jeffersonville, IN 47130-4494

Phone

(812) 590-2355

Fax

(812) 590-3355

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Assad T Nasr

Title

Pharmacist

Phone

(812) 590-2355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kentuckiana Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1992101307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SPRING ST",
            "address_2": "SUITE 303",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-590-2355",
            "fax_number": "812-590-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SPRING ST",
            "address_2": "SUITE 303",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-590-2355",
            "fax_number": "812-590-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "ASSAD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "812-590-2355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201273380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentuckiana Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian M. Worm, M.D.
• Elyse Marie Wright, PA-C
• Ronald L Wright, MD
• Elizabeth Wyatt
• Jeuti B Wylde, MD
• Hailey Yates, RBT
• Keisha Yates
• Eric Blaine Yazel, MD
• Luke Yeager, LMHC
• Yellow Ambulance Southern Indiana

• Pharmacist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.