MONTANA CVS PHARMACY LLC (NPI# 1063456432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063456432 |
| Entity Type | Organization |
| Organization Name | MONTANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #08621 |
| Practice Address |
115 N 19th Ave Bozeman MT 59718-4072 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4065879252 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 15085 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2782971 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08621 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053614370 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3095 N Montana Ave, Helena, MT 59601-0552 | 2010-12-08 |
| 1265602502 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 307 Se 4th St, Laurel, MT 59044-3324 | 2008-03-03 |
| 1699945949 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 425 East Main St, Billings, MT 59105-3227 | 2008-03-03 |
| 1598959504 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2420 N Reserve St, Missoula, MT 59808-1317 | 2007-09-02 |
| 1114962115 | Montana Cvs Pharmacy LLC | Pharmacy | 603 N Montana Ave, Helena, MT 59601-3885 | 2006-06-17 |
| 1699719062 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1902 Brooks St, Missoula, MT 59801-6644 | 2006-06-16 |
| 1972547347 | Montana Cvs Pharmacy LLC | Pharmacy | 2402 Grand Ave, Billings, MT 59102-2623 | 2006-06-16 |
| 1144264516 | Montana Cvs Pharmacy LLC | Pharmacy | 526 Euclid Ave, Helena, MT 59601-2856 | 2006-06-16 |
| 1881638252 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2001 10th Ave S, Great Falls, MT 59405-4413 | 2006-06-16 |
| 1508800970 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1275 Harrison Ave, Butte, MT 59701-4807 | 2006-06-16 |
| Street Address |
115 N 19TH AVE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367819 | Patricia Brady Cuskey | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2020-05-07 |
| 1861013690 | Katelyn Sue Sadley | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2020-05-04 |
| 1578904207 | Mary Bough | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-07-10 |
| 1730529090 | Kimberly D Shelton | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-07-01 |
| 1548600976 | William Schultz | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-06-30 |
| 1265872675 | Ryan Timothy Davis | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962823054 | Vendor Pro Corporation | Pharmacy | 1627 W Main St., Suite 446, Bozeman, MT 59715-4011 | 2013-12-17 |
| 1073653218 | Montana State University | Pharmacy | Msu Student Health Service Rx, 7th and Grant, Bozeman, MT 59715-0002 | 2007-02-07 |
| 1326063942 | Smiths Food & Drug Centers Inc | Pharmacy | 1400 N 19th Ave, Bozeman, MT 59718-3647 | 2006-07-13 |
| 1003858887 | Western Drug of Bozeman | Pharmacy | 200 Highland Blvd, Bozeman, MT 59715 | 2006-06-13 |
| 1639589690 | Vendor Pro Corporation | Pharmacy | 804 N 19th Ave, Suite 2b, Bozeman, MT 59718-6928 | 2014-04-30 |
| 1174544142 | Gallatin Comm Clinic Phcy | Pharmacy | 214 E Mendenhall St, Bozeman, MT 59715-3638 | 2006-07-22 |
| 1356372486 | K Mart Corp | Pharmacy | 1126 N 7th Ave, Bozeman, MT 59715-2508 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935310 | Sykes Pharmacy Columbia Falls Inc | Pharmacy | 500 12th Ave W Ste 1a, Columbia Falls, MT 59912-3818 | 2020-09-04 |
| 1104378439 | Shields LLC | Pharmacy | 1315 Wyoming St Ste A, Missoula, MT 59801-1725 | 2016-11-03 |
| 1639625064 | Shopko Stores Operating Co LLC | Pharmacy | 1001 N Center Ave, Hardin, MT 59034-1101 | 2016-08-26 |
| 1043681745 | Walmart Pharmacy | Pharmacy | 443 Osborn Ave, Bigfork, MT 59911-3671 | 2015-10-07 |
| 1164809778 | Credena Health LLC | Pharmacy | 50331a Us Highway 93, Polson, MT 59860-7046 | 2015-05-04 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 1073853941 | Vans Iga of Dillon Inc | Pharmacy | 110 Southside Blvd, Dillon, MT 59725-3536 | 2013-02-28 |
| 1477850931 | Lakeside Pharmacy LLC | Pharmacy | 7100 Hwy 93 South, Suite A, Lakeside, MT 59922 | 2011-02-18 |
| 1790002566 | Big Sandy Pharmacy Inc | Pharmacy | 158 Johannes Ave, Big Sandy, MT 59520 | 2010-05-03 |
| 1871824300 | Nicolle T Sereday | Pharmacy | 4271 Us Highway 12 E, White Sulphur Springs, MT 59645 | 2010-01-22 |
| Find all providers with the same taxonomy | ||||
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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.