ST JOHN'S MEDICAL CENTER PHARMACY
NPI 1972657179
Pharmacy - Institutional Pharmacy in Jackson, WY

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

Active since January 23, 2007

625 E BROADWAY AVE, JACKSON, WY 83001(307) 739-6172(307) 739-7698 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About St John's Medical Center Pharmacy NPPES

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

ST JOHN'S MEDICAL CENTER PHARMACY (NPI 1972657179) is a healthcare organization registered as an institutional pharmacy in Jackson, Wyoming and active in the NPI registry since January 2007. The organization lists Alisa Jean Lane, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1972657179

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameTETON COUNTY HOSPITAL DISTRICT

Location Address625 E BROADWAY AVEJackson, WY 83001-8642

Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 739-6172 · Fax (307) 739-7698

Phone(307) 739-6172

Fax(307) 739-7698

Organization SubpartYes

Authorized OfficialAlisa Jean LaneDirector Of Finance · (307) 739-7641

Enumeration DateJanuary 23, 2007

Last NPPES UpdateDecember 19, 2017

✔ NPI 1972657179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

License✔ Licensed in WY · 5201102

Definition

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.

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 5201102 (WY)

625 E BROADWAY AVE, Jackson, WY 83001

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Other Names 1

Doing Business AsSt John's Medical Center Pharmacy

Other Identifiers 1

Medicaid106299907WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and more.Insurance ›