PARADYME ENTERPRISES, LLC (NPI# 1114243367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114243367 |
| Entity Type | Organization |
| Organization Name | PARADYME ENTERPRISES, LLC |
| Other Organization Name | GREEN BEAN COFFEESHOP |
| Practice Address |
2710 Brooks St Ste 2 Missoula MT 59801-7868 |
| Practice Telephone | 4065413465 |
| Mailing Telephone | 4065413465 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MR. PHAEDRUS HEMPHILL SWAB (OWNER) |
| Authorized Official Telephone | 4065413465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Green Bean Coffeeshop | Doing Business As Name - Organization |
| Street Address |
2710 BROOKS ST STE 2 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-7868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1114245867 | Sweetwater, LLC | Non-Pharmacy Dispensing Site | 5707 W Harrier Dr, Missoula, MT 59808-5345 | 2010-05-05 |
| 1619292901 | Mtink | Non-Pharmacy Dispensing Site | 2710 Brooks St, Suite 2, Missoula, MT 59801-7868 | 2010-03-30 |
| 1033466966 | Black Bear Naturopathic Clinic, PC | Non-Pharmacy Dispensing Site | 2204 Dixon Ave, Missoula, MT 59801-8224 | 2012-08-09 |
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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.