CORVALLIS DRUG INC (NPI# 1093870560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093870560 |
Entity Type | Organization |
Organization Name | CORVALLIS DRUG INC |
Practice Address |
1029 Main Street Corvallis MT 59828-0009 |
Mailing Address |
Po Box 9 1029 Main Street Corvallis MT 59828-0009 |
Practice Telephone | 4069613221 |
Practice Fax Number | 4069614344 |
Mailing Telephone | 4069613221 |
Mailing Fax Number | 4069614344 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2020-07-24 |
Authorized Official Name | KLINTON KYP CURTIS (PHARMACIST) |
Authorized Official Telephone | 4066429891 |
Authorized Official Credential | OWNER |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | 1034 | MT | Suppliers |
N | 347C00000X | Private Vehicle | 13-30123 | MT | Transportation Services |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 562822 | 05 | |
MT | NABP | 2700791 | 01 |
Street Address |
1029 MAIN STREET |
City | CORVALLIS |
State | MT |
Zip Code | 59828-0009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891080529 | Corvallis Physical Therapy, PC | Clinic/Center | 1050 Eastside Hwy, Corvallis, MT 59828 | 2011-06-10 |
1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
1104018639 | Carla R Albert | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828 | 2007-08-17 |
1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
1720431729 | Madeline Grace Mussman | Family Medicine | 1037 Main St, Corvallis, MT 59828-9004 | 2016-07-14 |
1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
1356726111 | Kellie D Mildenberger | Social Worker | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2015-07-22 |
1457405680 | Phyllis Jean Bookbinder | Counselor | 1135 Catherine Ln, Corvallis, MT 59828-9321 | 2007-01-23 |
1508875428 | Janie Marie Hett | Physical Medicine & Rehabilitation | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2006-08-07 |
Find all providers in zip 59828 |
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 |
---|---|---|---|---|
1700087921 | Health Solutions Pharmacy Center Inc | Pharmacy | 996 Nw Circle Blvd., Suite 105, Corvallis, OR 97330-1410 | 2007-05-29 |
1427497569 | Good Samaritan Hospital Corvallis | Pharmacy | 3521 Nw Samaritan Dr, Ste 200, Corvallis, OR 97330-4744 | 2013-06-21 |
1679586994 | Yogi Investments LLC | Pharmacy | 3680 Nw Samaritan Drive, Corvallis, OR 97330 | 2006-08-15 |
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---|---|---|---|---|
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.