DAMION KILLSBACK (NPI# 1134351208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134351208 |
| Entity Type | Individual |
| Full Name | DAMION KILLSBACK |
| Credential | PHARM.D. |
| Practice Address |
100 Cheyenne Avenue Lame Deer MT 59043 |
| Mailing Address |
Po Box 70 Lame Deer MT 59043-0070 |
| Practice Telephone | 4064774444 |
| Practice Fax Number | 4064774457 |
| Mailing Telephone | 4064774448 |
| Mailing Fax Number | 4064774457 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4522 | MT | Pharmacy Service Providers |
| Street Address |
100 CHEYENNE AVENUE |
| City | LAME DEER |
| State | MT |
| Zip Code | 59043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063614170 | Thomas Leslie Dolan | Optometrist | 100 Cheyenne Avenue, Lame Deer, MT 59043-0070 | 2007-06-01 |
| 1073955449 | Anita Rae Small | Registered Nurse | 100 Cheyenne Avenue, Lame Deer, MT 59043 | 2013-07-25 |
| 1881031862 | Lame Deer Health Center | Clinic/Center | 100 Cheyenne Avenue, Lame Deer, MT 59043-9043 | 2013-05-30 |
| 1588925572 | Northern Cheyenne Board of Health | Nursing Facility/Intermediate Care Facility | 100 Cheyenne Avenue, Box 67, Lame Deer, MT 59043 | 2012-06-06 |
| 1588941694 | Sarah Lindsey Comeau | Registered Nurse | 100 Cheyenne Avenue, Lame Deer, MT 59043-0070 | 2011-11-03 |
| 1588983035 | Michelle Leah Thex | Registered Nurse | 100 Cheyenne Avenue, Lame Deer, MT 59043-0070 | 2010-05-24 |
| 1366768863 | Amber Rose Means | Registered Nurse | 100 Cheyenne Avenue, Lame Deer, MT 59043-0070 | 2010-04-09 |
| 1184955742 | Marti L Caywood | Dental Hygienist | 100 Cheyenne Avenue, Lame Deer, MT 59043 | 2010-01-21 |
| 1255584918 | Margaret Ann White | Registered Nurse | 100 Cheyenne Avenue, Lame Deer, MT 59043 | 2008-10-28 |
| 1245483098 | Cheyenne Tallbull | Registered Nurse | 100 Cheyenne Avenue, Lame Deer, MT 59043 | 2008-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700570 | Jamie Behles | Registered Nurse | 100 N Cheyenne Ave, Lame Deer, MT 59043 | 2019-10-01 |
| 1144725516 | Tamara Roundstone | Registered Nurse | 100 Eaglefeathers Street, Lame Deer, MT 59043 | 2018-03-28 |
| 1336556786 | Brenda Hamilton | Social Worker | 420 North Cheyenne Ave, Lame Deer, MT 59043 | 2014-07-17 |
| 1972857308 | Rosalie Birdwoman | Counselor | 100 Eagle Feather St., Lame Deer, Montana, Lame Deer, MT 59043 | 2012-11-07 |
| 1184978595 | Ben L Armentrout | Counselor | 100 Eagle Feather Street, Lame Deer, MT 59043 | 2012-11-07 |
| 1568716090 | Northern Cheyenne Tribe | Counselor | 420 North Cheyenne Avenue, Lame Deer Health Center - Behavior Health, Lame Deer, MT 59043 | 2012-11-06 |
| 1710231352 | John Duane Burns Sr. | Counselor | 100 Eagle Feathers Drive, Lame Deer, MT 59043 | 2012-11-05 |
| 1124292677 | Robin Joy Lipke | Psychologist | Northern Cheyenne Clinic, Highway 39, Lame Deer, MT 59043 | 2008-04-16 |
| 1306039631 | Angela Miller | Counselor | 1 Cheyenne Lane, Lame Deer, MT 59043 | 2007-08-21 |
| 1922214345 | Harold Jeanotte | Physician Assistant | 100 Avenue Cheyenne, Box 70, Lame Deer, MT 59043 | 2007-05-15 |
| Find all providers in zip 59043 | ||||
| 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 |
|---|---|---|---|---|
| 1215446935 | Kayla A Thomas | Pharmacist | 420 N Cheyenne Avenue, Lame Deer, MT 59043-0070 | 2017-09-26 |
| 1629525217 | Madison Pavlechko | Pharmacist | 100 Cheyenne Ave., Lame Deer, MT 59043 | 2016-09-01 |
| 1659717759 | William Ryman | Pharmacist | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2013-05-15 |
| 1720388168 | Eric J Nickisch | Pharmacist | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2010-11-02 |
| 1487886925 | Alexander Townley | Pharmacist | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2009-08-18 |
| 1841422383 | Philip Minnick | Pharmacist | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2009-08-18 |
| 1437377256 | Jason F. White | Pharmacist | 100 Cheyenne Ave, Lame Deer Community Health Center, Lame Deer, MT 59043 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435916 | Christopher Ludwig | Pharmacist | 4011 Melrose Pl, Missoula, MT 59808-5890 | 2020-07-28 |
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1144858465 | Krystel Alene Buckland | Pharmacist | 1921 14th St W, Billings, MT 59102-3113 | 2020-03-31 |
| 1043843733 | Marissa Richie | Pharmacist | 16862 Beckwith St Ste P, Frenchtown, MT 59834-9001 | 2020-02-20 |
| 1043864218 | Gary Palladino | Pharmacist | 5050 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-26 |
| 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 |
| 1487126991 | Johnathan Watt | Pharmacist | 2086 Us Highway 93 N Ste 110, Victor, MT 59875-9209 | 2018-12-21 |
| 1255819868 | Jacob Kreamer | Pharmacist | 3195 E Custer Ave, Helena, MT 59602 | 2018-08-06 |
| 1003312224 | Ashley Grammens | Pharmacist | 307 Harmon Street, Glendive, MT 59330 | 2018-04-05 |
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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.