DR. CRAIG A FREDERICK (NPI# 1679048136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679048136 |
| Entity Type | Individual |
| Full Name | DR. CRAIG A FREDERICK |
| Credential | PHARMD |
| Practice Address |
437 West Whalen St Guernsey WY 82214-0250 |
| Mailing Address |
Po Box 224 Guernsey WY 82214-0224 |
| Practice Telephone | 3078369270 |
| Practice Fax Number | 3078369275 |
| Mailing Telephone | 3073310371 |
| Mailing Fax Number | 3078369275 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2863 | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033176185 | Craig Jude Frederick | Family Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2006-05-01 |
| Street Address |
437 WEST WHALEN ST |
| City | GUERNSEY |
| State | WY |
| Zip Code | 82214-0250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996482 | Lacy R Mansfield | Midwife | 860 River Drive, Guernsey, WY 82214 | 2019-08-06 |
| 1568024966 | Lyndsie Sue Fuller | Occupational Therapist | 669 Sunrise St, Guernsey, WY 82214 | 2019-07-05 |
| 1770066805 | Lori Ann Morales | Case Manager/Care Coordinator | 327 S Iowa, Guernsey, WY 82214 | 2018-09-14 |
| 1174052989 | Platte County Memorial Hospital | General Acute Care Hospital | 1 E Whalen St, Guernsey, WY 82214 | 2017-06-06 |
| 1376084160 | Platte County Memorial Hospital | Clinic/Center | 1 E. Whalen St., Guernsey, WY 82214 | 2017-03-14 |
| 1275913105 | Banner Health Physicians West LLC | Clinic/Center | 1 E Whalen Street, Guernsey, WY 82214 | 2015-06-05 |
| 1851607881 | Tamara Michelle Stenson | Case Manager/Care Coordinator | 245 North Kansas Ave., Guernsey, WY 82214 | 2010-08-27 |
| 1356560742 | Register Cliff Pharmacy, Inc. | Pharmacy | 437 W Whalen Ave, Guernsey, WY 82214 | 2007-04-24 |
| 1356495337 | Town of Guernsey | Ambulance | 81 W Whalen, Guernsey, WY 82214 | 2007-01-23 |
| 1699209171 | Joyce Evans | Speech-Language Pathologist | 126 N Wyoming Av, Guernsey, WY 82214-0100 | 2017-04-12 |
| Find all providers in zip 82214 | ||||
| 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 |
| 1578187159 | Tara Hensley | Pharmacist | 971 Waterford, Casper, WY 82609-3234 | 2020-05-30 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1013568922 | Paul R Burpo Jr. | Pharmacist | 950 N Hwy 414, Mountain View, WY 82939 | 2019-09-23 |
| 1316598360 | Tana Arbury | Pharmacist | 2301 E Lincolnway, Cheyenne, WY 82001-5487 | 2019-09-20 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1003306374 | Wenyang Mao Donehue | Pharmacist | 6919 Prairie Hills Dr, Cheyenne, WY 82009-2696 | 2018-05-13 |
| 1548768237 | Rebecca A Darling | Pharmacist | 1514 Arnold St, Laramie, WY 82070-5419 | 2018-01-27 |
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| 1689183659 | Sarah Ann Gilliard | Pharmacist | 2300 Capital Avenue, Suite B27, Cheyenne, WY 82002 | 2017-09-21 |
| Find all providers with the same taxonomy | ||||
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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.