Stephanie Rachelle Mccullough Roberts is a Pharmacist practicing in Cody, Wyoming. The National Provider Identifier (NPI) is #1356221808, which was assigned on September 4, 2025, and the registration record was last updated on September 4, 2025. The practitioner's main practice location is at 698 Yellowstone Ave, Cody, WY 82414-9322; the contact telephone number is 3075276221, and the fax number is 3075276667. The primary taxonomy of Stephanie Rachelle Mccullough Roberts is Pharmacist (183500000X). Stephanie Rachelle Mccullough Roberts is licensed to practice in the state of Wyoming (#4625).
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.
| NPI | 1356221808 |
| Entity Type | Individual |
| Provider Name | STEPHANIE RACHELLE MCCULLOUGH ROBERTS |
| Gender | Female |
| Credential | PHARMD |
| Practice Address |
698 Yellowstone Ave Cody WY 82414-9322 |
| Practice Telephone | 3075276221 |
| Practice Fax Number | 3075276667 |
| Mailing Address |
698 Yellowstone Ave Cody WY 82414-9322 |
| Mailing Telephone | 3075276221 |
| Mailing Fax Number | 3075276667 |
| Certification Date | 2025-09-04 |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4625 | WY |
| Code | 183500000X |
| Taxonomy | Pharmacist |
| Classification | Pharmacist |
| Grouping | Pharmacy Service Providers |
| Definition: 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] |
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| Street Address |
698 YELLOWSTONE AVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-9322 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jeanann Wenke | 698 Yellowstone Ave, Cody, WY 82414-9322 | Pharmacist | 2024-12-06 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 | Durable Medical Equipment & Medical Supplies | 2005-10-21 |
| Brooke Davidson | 1527 Rumsey Ave, Cody, WY 82414-3813 | Professional Counselor | 2024-05-08 |
| Cody Regional Health Ems | 707 Sheridan Ave, Cody, WY 82414-3409 | Land Ambulance | 2005-10-24 |
| Lauren Seitz | 702 Platinum Dr, Cody, WY 82414-3420 | Physician Assistant | 2019-02-13 |
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| Allen L Gee | 702 Platinum Dr, Cody, WY 82414-3420 | Neurology Physician | 2006-11-03 |
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| Pedro Alberto Mendoza | 707 Sheridan Ave, Cody, WY 82414-3409 | Registered Nurse | 2011-11-23 |
| Andrew Charles Trunkhill | 702 Platinum Dr, Cody, WY 82414-3420 | Primary Care Nurse Practitioner | 2017-07-19 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |