RAWHIDE DRUG LLC
NPI 1124779392
Pharmacy - Long Term Care Pharmacy in Lusk, WY

Active since January 10, 2022CLIA 53D2186453 · Waiver

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rawhide Drug Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAWHIDE DRUG LLC (NPI 1124779392) is a healthcare organization registered as a long term care pharmacy in Lusk, Wyoming and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Heather Robinson, Compliance Mgr., as its authorized official.

NPPES Registry Identity

NPI1124779392
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameRAWHIDE DRUG LLC
Location Address232 S MAIN STLusk, WY 82225-5089
Mailing Address3780 E 15th St Ste 102Loveland, CO 80538-8768 · (970) 481-9668
Organization SubpartNo
Authorized OfficialHeather RobinsonCompliance Mgr. · (970) 481-9668
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1124779392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
232 S MAIN ST, Lusk, WY 82225

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2186453

Rawhide Drug · Lusk, WY
Active · expires Jun 16, 2028
CLIA Number53D2186453
Laboratory TypePharmacy
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorCraig Frederick
Laboratory Phone(307) 334-3132
Laboratory LocationRawhide Drug232 S Main St, Lusk, WY 82225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
232 S MAIN ST
LUSK, WY 82225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rawhide Drug LLC's NPI number?

The NPI number for Rawhide Drug LLC is 1124779392. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Rawhide Drug LLC located?

Rawhide Drug LLC is located at 232 S Main St, Lusk, WY 82225. The listed phone number is (307) 334-3132.

What is Rawhide Drug LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Rawhide Drug LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2186453) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rawhide Drug LLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.