Powell Valley Health Care, Inc., NPI 1104965003
Institutional Pharmacy in Powell, WY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1104965003 |
| NPI Entity Type | Organization |
| Provider Name | Powell Valley Health Care, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 777 Avenue H, Powell, WY, US |
| Provider Mailing Address | 777 Avenue H, Powell, WY, US, 824352260 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. CEO Terry Odom |
| Official Position | CEO |
| Phone | 307-754-1179 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Institutional Pharmacy |
| Classification | |
| Group | |
| License No. | 5201342 |
| License State | WY |
| Description | A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 5201342 | WY | No | |||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 007203 | WY | BCBS PROVIDER # | 01 |
| 5201342 | WY | PART D RX SOLUTIONS PROV | 01 |
| 107049500 | WY | MEDICAID | 05 |
| 107049502 | WY | MEDICAID | 05 |
| 107185807 | WY | MEDICAID | 05 |
| 520134 | WY | PART D CAREMARXK PROVIDER | 01 |
| 5201342 | WY | PART D AETNA PROVIDER # | 01 |
| BP3284471 | WY | DEA | 01 |
| 5201342 | WY | NCPDP | 01 |
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