COLLEEN RENAE LEADBETTER (NPI# 1013083716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013083716 |
| Entity Type | Individual |
| Full Name | COLLEEN RENAE LEADBETTER |
| Credential | PHARMD |
| Practice Address |
4711 Scott Allen Dr Missoula MT 59803-2784 |
| Mailing Address |
4711 Scott Allen Drive Missoula MT 59803-2784 |
| Practice Telephone | 4067288848 |
| Practice Fax Number | 4067284290 |
| Mailing Telephone | 4067288848 |
| Mailing Fax Number | 4067284290 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3671 | MT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 20252 | WA | Pharmacy Service Providers |
| Street Address |
4711 SCOTT ALLEN DR |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-2784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435916 | Christopher Ludwig | Pharmacist | 4011 Melrose Pl, Missoula, MT 59808-5890 | 2020-07-28 |
| 1053973701 | Alexander Vladimirovich Chinikaylo | Pharmacist | 10878 Peaks Row Ln, Missoula, MT 59808-8478 | 2019-07-02 |
| 1912466202 | Jenner Minto | Pharmacist | University of Montana 317 Skaggs Building, Missoula, MT 59812-0001 | 2019-03-15 |
| 1861873515 | Kylie Rauch | Pharmacist | 1821 South Ave W Ste 101, Missoula, MT 59801-6518 | 2015-06-17 |
| 1164827929 | Charles Ellis | Pharmacist | 534 S 5th St W, Missoula, MT 59801-2618 | 2014-10-22 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1649600719 | Kimberlee Becker | Pharmacist | 5255 Elk Ridge Rd, Missoula, MT 59802-5227 | 2013-11-26 |
| 1982043956 | Sadie Linford | Pharmacist | 1914 Brooks St, Missoula, MT 59801-6644 | 2013-06-22 |
| 1972870160 | Lee Ann Peterson | Pharmacist | 619 Dixon Ave, Missoula, MT 59801-8623 | 2011-11-16 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.