KEN EDWIN BURROWS (NPI# 1235363417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235363417 |
| Entity Type | Individual |
| Full Name | KEN EDWIN BURROWS |
| Credential | RPH |
| Practice Address |
29 Black Cole Dr Ft. Washikie WY 82514-0128 |
| Mailing Address |
4438 Charles Ronald Ave. Ft. Washikie WY 82514-0127 |
| Practice Telephone | 3073355900 |
| Mailing Telephone | 3073355900 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
10414 | NV | Pharmacy Service Providers |
| Street Address |
29 BLACK COLE DR |
| City | FT. WASHIKIE |
| State | WY |
| Zip Code | 82514-0128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174767545 | James Robert Mcknight | Pharmacist | 18 Chambers Dr, Lander, WY 82520-9721 | 2009-04-28 |
| 1780209189 | Lindsey Snyder | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
| 1053884114 | Laraine Kopetzky | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2019-01-10 |
| 1568943470 | Scot Michael Schmidt | Pharmacist | 7124 Commons Dr Unit B, Cheyenne, WY 82009-2620 | 2018-08-28 |
| 1902320708 | Megan Ziegler | Pharmacist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2017-08-02 |
| 1649621814 | Catherine Scalley | Pharmacist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2016-06-28 |
| 1275834582 | David M Dixon | Pharmacist | 1898 Fort Rd, Pharmacy-119, Sheridan, WY 82801-8320 | 2010-11-03 |
| 1558676734 | Colton Marshall Eisele | Pharmacist | 2360 E Pershing Blvd, 119, Cheyenne, WY 82001-5356 | 2010-08-12 |
| 1285953372 | Lanae Salveson | Pharmacist | 1000 E University Ave, Laramie, WY 82071-2000 | 2010-05-28 |
| City | FT. WASHIKIE |
| Zip Code | 82514 |
Please comment or provide details below to improve the information on KEN EDWIN BURROWS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.