Theodore Osborn, Pharm.D.
Pharmacist, Pharmacotherapy in Sheridan, WY. Individual provider (NPI-1).
NPI number1003099342
StatusActive
Last updated in NPPESApr 11, 2016
Details
- NPI
- 1003099342
- Entity type
- Individual (NPI-1)
- Name
- Theodore Osborn
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2007
- Last updated
- Apr 11, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P1200X | Pharmacist, Pharmacotherapy | 6313 | SD | Yes |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 183500000X | Pharmacist | 6313 | SD |
Other names
- Ted Osborn (Other Name)
Practice location
1898 Fort RdSheridan, WY 82801-8320
Phone 307-675-3102
Mailing address
1898 Fort RdSheridan, WY 82801-8320
Phone 307-675-3102
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