VANS IGA OF DILLON INC (NPI# 1073853941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073853941 |
| Entity Type | Organization |
| Organization Name | VANS IGA OF DILLON INC |
| Other Organization Name | VANS PHARMACY |
| Practice Address |
110 Southside Blvd Dillon MT 59725-3536 |
| Practice Telephone | 4069887121 |
| Practice Fax Number | 4066833540 |
| Mailing Telephone | 4069887121 |
| Mailing Fax Number | 4066833540 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | BONNIE REBISH (PIC) |
| Authorized Official Telephone | 4069887121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAPHRLIC14805 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 610084 | 05 | |
| PK | 2139191 | 01 |
| Other Name | Type Code |
|---|---|
| Vans Pharmacy | Doing Business As Name - Organization |
| Street Address |
110 SOUTHSIDE BLVD |
| City | DILLON |
| State | MT |
| Zip Code | 59725-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285034306 | Bonnie Rose Rebish | Pharmacist | 110 Southside Blvd, Dillon, MT 59725-3536 | 2014-08-26 |
| 1043563323 | Eric Michael Wagner | Pharmacist | 110 Southside Blvd, Dillon, MT 59725-3536 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998508 | Sarah Riebel | Physical Therapy Assistant | 30 State Highway 91, Dillon, MT 59725 | 2020-06-26 |
| 1508397761 | Tawni Harper | Occupational Therapist | 600 State Hwy 91 South, Dillon, MT 59725 | 2017-03-21 |
| 1437532173 | Meghan Combs | Internal Medicine | 600 Mt Hwy 91 S., Dillon, MT 59725 | 2015-06-30 |
| 1962830232 | John B Mccollum | Dentist | 110 S. Idaho Street, Dillon, MT 59725 | 2013-10-24 |
| 1578817789 | Krista Maness | Counselor | 610 N Montana St Ste 10, Dillon, MT 59725 | 2012-11-09 |
| 1891079224 | Montana Migrant and Seasonal Farmworker Council, Inc. | Clinic/Center | 116 N Washington St, Dillon, MT 59725 | 2011-10-04 |
| 1407145527 | Latresha G. Garrison | Counselor | 23 S. Idaho #2, Dillon, MT 59725 | 2011-03-29 |
| 1457657009 | The Legacy Assisted Living LLC | Assisted Living Facility | 1000 Hwy 91 South, Dillon, MT 59725 | 2011-01-31 |
| 1548495518 | Jamie L Koett | Hospitalist | 600 Hwy 91 South, Dillon, MT 59725 | 2009-05-20 |
| 1164666889 | Justin Howard Rhodes | Student in an Organized Health Care Education/Training Program | 327 E. Helena St, Dillon, MT 59725 | 2009-04-24 |
| Find all providers in zip 59725 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801267331 | Discount Pharmacy of Dillon LLC | Pharmacy | 1115 Highway 301 N Ste B, Dillon, SC 29536-2498 | 2015-10-09 |
| 1386789915 | The Medicine Shoppe #1425 | Pharmacy | 101 Hwy 301 South, Dillon, SC 29536-3447 | 2007-02-21 |
| 1689777450 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1211 Highway 301 N, Dillon, SC 29536-2463 | 2006-09-07 |
| 1144883984 | Butte Silver Bow Primary Health Care Clinic Inc | Pharmacy | 125 E Glendale St, Dillon, MT 59725-2505 | 2019-04-17 |
| 1770940801 | Dillon Family Pharmacy I | Pharmacy | 603 N 6th Ave, Dillon, SC 29536-2503 | 2016-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630662 | Pharm406 Inc | Pharmacy | 1410 38th St W Ste A, Billings, MT 59102-7552 | 2020-05-16 |
| 1710521679 | Billmont Rx, LLC | Pharmacy | 1603 Grand Ave Ste 250, Billings, MT 59102-3000 | 2019-11-04 |
| 1235636689 | Daniel Patrick Doran | Pharmacy | 590 Stockett Rd, Sand Coulee, MT 59472-9745 | 2018-04-11 |
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1679977433 | Superior Specialty Pharmacy of Montana, LLC | Pharmacy | 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 | 2014-10-22 |
| 1134439797 | Kc Western Drug | Pharmacy | 105 E 1st, Clyde Park, MT 59018-0000 | 2010-10-18 |
| 1669795647 | Broadus Foods, Inc | Pharmacy | 120 S Park Avenue, Broadus, MT 59317-0549 | 2010-03-05 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
| 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.