Provider Demographics
NPI:1538880299
Name:MCKAY, JAYDEN COLE I (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAYDEN
Middle Name:COLE
Last Name:MCKAY
Suffix:I
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 MARIE LN
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-3862
Mailing Address - Country:US
Mailing Address - Phone:307-637-4300
Mailing Address - Fax:
Practice Address - Street 1:7121 COMMONS DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-2651
Practice Address - Country:US
Practice Address - Phone:307-637-4300
Practice Address - Fax:307-637-4306
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY4408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist