IndividualActive
Jason Walck, PHARM.D.
NPI 1700174539 · Geriatric Pharmacist · Cheyenne, WY
Provider details
- NPI number
- 1700174539
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 054562 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2360 E Pershing Blvd # 119
Cheyenne, WY 82001-5356
Phone: (307) 778-7550
Street-level locationGet directions
Mailing address
2360 East Pershing Blvd
Cheyenne, WY 82001
Registry dates
- Enumerated
- 2011-07-14
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.