Alexis Fanshier – Pharmacist in Cheyenne, WY

Key facts

NPI: 1992562789
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 4495 (WY)
Practice address: 1501 Dell Range Blvd
Cheyenne, WY 82009-4853
Phone: (307) 635-5854
NPI assigned: Feb 28, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Walgreen Co Pharmacy · Cheyenne, WY · NPI 1215942396

NPD
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
4495	WY	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Current since Mar 3, 2024	Accepting new patients
Walgreen Co		Past since Mar 3, 2024	Accepting new patients

Locations

1501 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 635-5854

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	4495	WY	Yes

Addresses

Primary practice location

1501 Dell Range Blvd
Cheyenne, WY 82009-4853

Mailing address

2409 Pattison Ave Apt D
Cheyenne, WY 82009-5152

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2024.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1992562789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 PATTISON AVE APT D",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094853",
            "telephone_number": "307-635-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANSHIER",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · Pharmacist in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.