Active NPI
Lydia Von Wald, RPH, PHARMD
- Pharmacist
- Cheyenne, WY
National Provider Identifier
1992361109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4140
- Practice address
- 5353 Yellowstone Rd Ste 211
Cheyenne, WY 82009-4178 - Phone
- (888) 385-0235
- NPI assigned
- May 13, 2019
- Last updated
- Aug 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0022642 | CO | |
| Pharmacist | 183500000X | 57436 | TX | |
| Pharmacist | 183500000X | 4140 | WY | Primary |
Addresses
Primary practice location
5353 Yellowstone Rd Ste 211
Cheyenne, WY 82009-4178
Mailing address
PO Box 1246
Wellington, CO 80549-1246
Phone (214) 315-5016
Other names 1
- Dr. Lydia Chiu
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0022642 | CO | MD | Pharmacist |
| 57436 | TX | MD | Pharmacist |
| 4140 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1992361109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1246",
"city": "WELLINGTON",
"state": "CO",
"postal_code": "805491246",
"telephone_number": "214-315-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 YELLOWSTONE RD STE 211",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094178",
"telephone_number": "888-385-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON WALD",
"first_name": "LYDIA",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0022642",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57436",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "CHIU",
"prefix": "DR.",
"credential": "RPH, PHARMD",
"code": "1",
"type": "Former Name"
}
]
}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 Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.