MR. DALE WARREN VAN WIG (NPI# 1447685706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447685706 |
| Entity Type | Individual |
| Full Name | MR. DALE WARREN VAN WIG |
| Credential | R. PH. |
| Practice Address |
544 N. Third St Pharmacy Laramie WY 82070 |
| Mailing Address |
256 Sundance Ln Apt. 516 Laramie WY 82072-8717 |
| Practice Telephone | 3077454224 |
| Mailing Telephone | 3077664546 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 044929 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 3619TL | WY | Pharmacy Service Providers |
| Street Address |
544 N. THIRD ST PHARMACY |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| 1811103583 | Thomas Mcgarvey | Dentist | 303 S. 8th St., Laramie, WY 82070 | 2007-05-16 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350096 | Lihan Deng | Pharmacist | 1000 E University Ave Dept 3068, Laramie, WY 82071-2000 | 2020-09-10 |
| 1548768237 | Rebecca A Darling | Pharmacist | 1514 Arnold St, Laramie, WY 82070-5419 | 2018-01-27 |
| 1730565433 | Ryan Leigh Randall-brost | Pharmacist | 1416 Fetterman Dr, Laramie, WY 82070-8201 | 2015-08-04 |
| 1831504935 | Kathleen Ragan | Pharmacist | 750 N 3rd St, Laramie, WY 82072-2506 | 2014-06-26 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1518245943 | Yuan Hua Mcdermott | Pharmacist | 1420 Shield St, Laramie, WY 82072-2246 | 2011-08-02 |
| 1699075176 | Erambo Ayokosok | Pharmacist | 1718 Walsh Ct, Laramie, WY 82070-5524 | 2010-10-29 |
| 1669780045 | Michelle Elaine Albee | Pharmacist | 4005 E Grand, Laramie, WY 82070-5416 | 2010-09-19 |
| 1659369668 | Brett Kvenild | Pharmacist | 4005 E Grand Ave, Laramie, WY 82070-5161 | 2005-10-12 |
| Find all providers in LARAMIE | ||||
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| 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.