JACO FORNENGO (NPI# 1477023513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477023513 |
| Entity Type | Individual |
| Full Name | JACO FORNENGO |
| Practice Address |
845 N Federal Blvd Riverton WY 82501-2961 |
| Mailing Address |
1311 W Park Ave Riverton WY 82501-3260 |
| Practice Telephone | 3078576023 |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2018-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4101 | WY | Pharmacy Service Providers |
| Street Address |
845 N FEDERAL BLVD |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013096536 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 845 N Federal Blvd, Riverton, WY 82501-2961 | 2006-11-03 |
| 1164902995 | Mckenzie Ann Graham | Pharmacist | 845 N Federal Blvd, Riverton, WY 82501 | 2018-08-21 |
| 1548694318 | Derek M Lutchman | Pharmacist | 845 N Federal Blvd, Riverton, WY 82501-2961 | 2013-08-28 |
| 1285919449 | Cortney Butterfield | Pharmacist | 845 N Federal Blvd, Riverton, WY 82501-2961 | 2011-10-19 |
| 1245463223 | Bruce Berg | Pharmacist | 845 N Federal Blvd, Riverton, WY 82501-2961 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| 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 |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1780058958 | Justin Rick Benson | Pharmacist | 5332 W Elk Horn Peak Dr, Riverton, UT 84096-6470 | 2015-11-25 |
| 1760854582 | Chance Keddington | Pharmacist | 3723 West 12600 South, Suite 170, Riverton, UT 84065 | 2015-10-21 |
| 1316314099 | Teresa Oldham | Pharmacist | 1202 West 12600 South, Wal-mart Pharmacy, Riverton, UT 84065 | 2015-08-28 |
| 1275808958 | Marianne Tyson | Pharmacist | 12279 Rosebriar Ln, Riverton, UT 84065-3110 | 2012-03-14 |
| 1053698076 | Aaron Duane Arnold | Pharmacist | 12623 S. Redwood Rd, Riverton, UT 84065-6606 | 2011-11-04 |
| 1386944213 | Sommer Pedersen | Pharmacist | 832 W Main St, Riverton, WY 82501 | 2010-10-26 |
| 1164745006 | William Alan Owens | Pharmacist | 1960 N Federal Blvd, Riverton, WY 82501-5204 | 2010-03-06 |
| 1649400011 | Michael Donald Baldwin | Pharmacist | 546 Glacier Cir, Riverton, WY 82501-2212 | 2009-07-20 |
| 1437216934 | Jaime L Salmon | Pharmacist | 1784 W 12600 S, Riverton, UT 84065-7025 | 2007-01-03 |
| Find all providers in RIVERTON | ||||
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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.