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RIDLEY'S PHARMACY#1163
NPI 1730460221
Pharmacy - Community/Retail Pharmacy in Kemmerer, WY

Active since August 29, 2011CLIA 53D2041456 · Waiver
620 PINE AVE, KEMMERER, WY 83101(307) 877-4209(307) 877-6254 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Jul 19, 2018, Apr 26, 2018 and 2 more (5 updates tracked since 2016).

About Ridley's Pharmacy#1163 NPPES

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

RIDLEY'S PHARMACY#1163 (NPI 1730460221) is a healthcare organization registered as a community/retail pharmacy in Kemmerer, Wyoming and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Todd Wise, Pharmacy Coordinator, as its authorized official.

NPPES Registry Identity

NPI1730460221
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIDLEY'S FAMILY MARKETS INC
Location Address620 PINE AVEKemmerer, WY 83101-3002
Mailing Address621 Washington St STwin Falls, ID 83301-5519 · (208) 324-4633 · Fax (208) 324-1190
Phone(307) 877-4209
Fax(307) 877-6254
Organization SubpartNo
Authorized OfficialTodd WisePharmacy Coordinator · (801) 358-3365
Enumeration DateAugust 29, 2011
Last NPPES UpdateSeptember 24, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1730460221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WY · R10071
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.
Also ListedPharmacyTaxonomy 333600000X
620 PINE AVE, Kemmerer, WY 83101
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Other Names 1

Doing Business AsRidley's Pharmacy#1163

Other Identifiers 1

Other2131834Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 53D2041456

Ridley's Pharmacy #1163 · Kemmerer, WY
Active · expires May 22, 2028
CLIA Number53D2041456
Laboratory TypePharmacy
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorMs. Cathi Ketterling
Laboratory Phone(307) 877-4209
Laboratory LocationRidley's Pharmacy #1163620 Pine Ave, Kemmerer, WY 83101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients

Other Providers at the Same Location NPPES 2

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

WESLEY RICK SOMERS RPH
Pharmacist
620 PINE AVE
KEMMERER, WY 83101
Lincoln County (307) 877-4209
HNA, INC.
Pharmacy
620 PINE AVE
KEMMERER, WY 83101
Lincoln County (307) 877-4209

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 Ridley's Family Markets Inc's NPI number?

The NPI number for Ridley's Family Markets Inc is 1730460221. It was assigned to this organization in the NPPES registry on August 29, 2011. The provider is doing business as Ridley's Pharmacy#1163.

Where is Ridley's Family Markets Inc located?

Ridley's Family Markets Inc is located at 620 Pine Ave, Kemmerer, WY 83101. The listed phone number is (307) 877-4209.

What is Ridley's Family Markets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Ridley's Family Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2041456) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridley's Family Markets Inc 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 48 other insurers list Ridley's Family Markets Inc 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 Ridley's Family Markets Inc was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.