SOUTH STREET PHARMACY, LTC
NPI 1215781000
Pharmacy - Long Term Care Pharmacy in Wheatland, WY

Active since April 16, 2024CLIA 53D2169198 · Waiver
1456 SOUTH ST, WHEATLAND, WY 82201(307) 322-2486(307) 322-2487 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Street Pharmacy, Ltc NPPES

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

SOUTH STREET PHARMACY, LTC (NPI 1215781000), doing business as South Street Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Wheatland, Wyoming and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Corinda Lee Geile, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1215781000
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSOUTH STREET PHARMACY, LTC
Location Address1456 SOUTH STWheatland, WY 82201-2736
Mailing Address1456 South StWheatland, WY 82201-2736 · (307) 322-2486 · Fax (307) 322-2487
Fax(307) 322-2487
Organization SubpartYesParent: South Street Pharmacy
Authorized OfficialCorinda Lee GeileOwner/pic · (307) 331-2784
Enumeration DateApril 16, 2024
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
NPI 1215781000 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.
1456 SOUTH ST, Wheatland, WY 82201

Other Names 1

Doing Business AsSouth Street Pharmacy Ltc

Accepted Insurance

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 53D2169198

South Street Pharmacy · Wheatland, WY
Active · expires Jul 16, 2027
CLIA Number53D2169198
Laboratory TypePharmacy
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorCorinda Geile
Laboratory Phone(307) 322-2486
Laboratory LocationSouth Street Pharmacy1456 South Street, Wheatland, WY 82201
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 4

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

Pharmacist
1456 SOUTH ST
WHEATLAND, WY 82201
Pharmacist
1456 SOUTH ST
WHEATLAND, WY 82201
Pharmacy
1456 SOUTH ST
WHEATLAND, WY 82201
Pharmacist
1456 SOUTH ST
WHEATLAND, WY 82201

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 South Street Pharmacy, Ltc's NPI number?

The NPI number for South Street Pharmacy, Ltc is 1215781000. It was assigned to this organization in the NPPES registry on April 16, 2024. The provider is doing business as South Street Pharmacy LTC.

Where is South Street Pharmacy, Ltc located?

South Street Pharmacy, Ltc is located at 1456 South St, Wheatland, WY 82201. The listed phone number is (307) 322-2486.

What is South Street Pharmacy, Ltc's specialty?

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

Does South Street Pharmacy, Ltc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2169198) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Street Pharmacy, Ltc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list South Street Pharmacy, Ltc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Street Pharmacy, Ltc was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.