OrganizationActive
Teton County Hospital District
NPI 1972657179 · Institutional Pharmacy · Jackson, WY
Provider details
- NPI number
- 1972657179
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Parent organization
- Teton County Hospital District
- Organization subpart
- Yes
- Authorized official
- Alisa Lane, Director of Finance(307) 739-7641
- License
- 5201102 (WY)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 739-6172
Fax: (307) 739-7698
Street-level locationGet directions
Mailing address
Po Box 428
Jackson, WY 83001-0428
Other names (DBA / former)
- Doing business as
- St John'S Medical Center Pharmacy
- Doing business as
- St John'S Medical Center Pharmacy
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2017-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.