ELKHORN PHARMACY INC (NPI# 1265676100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265676100 |
| Entity Type | Organization |
| Organization Name | ELKHORN PHARMACY INC |
| Other Organization Name | ELKHORN PHARMACY INC |
| Practice Address |
215 N Main Boulder MT 59632-0026 |
| Mailing Address |
Po Box 26 Boulder MT 59632-0026 |
| Practice Telephone | 4062253240 |
| Practice Fax Number | 4062253246 |
| Mailing Telephone | 4062253240 |
| Mailing Fax Number | 4062253246 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | CLIFFORD MORRIS (PRESIDENT) |
| Authorized Official Telephone | 4062253240 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1282 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119902 | 01 | |
| MT | 1265676100 | 05 |
| Other Name | Type Code |
|---|---|
| Elkhorn Pharmacy Inc | Doing Business As Name - Organization |
| Street Address |
215 N MAIN |
| City | BOULDER |
| State | MT |
| Zip Code | 59632-0026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1487029336 | Kristin Nicole Fearon | Social Worker | 105 Venture Way, Boulder, MT 59632 | 2015-12-03 |
| 1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
| 1750404661 | Alliance Outreach Services | Clinic/Center | 512 Capital Heights Dr, Boulder, MT 59632 | 2007-04-06 |
| 1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
| 1770080426 | Jessica Nicole Cole | Counselor | 105 Venture Way, Boulder, MT 59632 | 2018-04-10 |
| 1679097638 | Amy Sue Braaksma | Nurse Practitioner | 214 S. Main St., Boulder, MT 59632 | 2017-08-01 |
| 1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
| 1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
| 1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
| Find all providers in zip 59632 | ||||
| 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 |
|---|---|---|---|---|
| 1699163634 | Pharmaca Integrative Pharmacy | Pharmacy | 4940 Pearl East Cir, Boulder, CO 80301-2489 | 2014-12-29 |
| 1972789998 | Econo Comp Pharmacy | Pharmacy | 4760 Walnut St, Boulder, CO 80301-2561 | 2008-01-22 |
| 1588728356 | Pharmaca Intergrative Pharmacy | Pharmacy | 1647 Pearl St, Boulder, CO 80302-5410 | 2006-12-19 |
| 1760544373 | Mental Health Center of Boulder County | Pharmacy | 3180 Airport Rd, Boulder, CO 80301-2208 | 2006-12-14 |
| 1124187224 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 645 S Broadway St, Boulder, CO 80305 | 2006-12-06 |
| 1235150285 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 1647 Pearl Street, Boulder, CO 80302 | 2006-07-22 |
| 1720143142 | Medical Bld Pharmacy Inc | Pharmacy | 1000 Alpine Ave, Ste 60, Boulder, CO 80304-3406 | 2006-12-26 |
| 1801958483 | Trx Family Pharmacy, Inc. | Pharmacy | 4745 Arapahoe Ave, Suite 120, Boulder, CO 80303-1080 | 2006-12-14 |
| 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.