MARY BOUGH (NPI# 1578904207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578904207 |
| Entity Type | Individual |
| Full Name | MARY BOUGH |
| Credential | PHARMD, RPH |
| Practice Address |
115 N 19th Ave Bozeman MT 59718-4072 |
| Practice Telephone | 4065879252 |
| Practice Fax Number | 4065866803 |
| Mailing Telephone | 4065879252 |
| Mailing Fax Number | 4065866803 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3978 | MT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447516 | Mary Ann Bough | Chiropractor | 3901 Hagan St Ste C, Bloomington, IN 47401-8516 | 2005-09-14 |
| Street Address |
115 N 19TH AVE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063456432 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2006-06-16 |
| 1396367819 | Patricia Brady Cuskey | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2020-05-07 |
| 1861013690 | Katelyn Sue Sadley | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2020-05-04 |
| 1730529090 | Kimberly D Shelton | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-07-01 |
| 1548600976 | William Schultz | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-06-30 |
| 1265872675 | Ryan Timothy Davis | Pharmacist | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2013-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| 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 |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1659812048 | Botros Hanna | Pharmacist | 2420 Daws Dr, Apt D, Bozeman, MT 59718-6979 | 2017-03-17 |
| 1952752602 | Lindsey Firman | Pharmacist | 405 Highland Boulevard, Suite 4500, Bozeman, MT 59715 | 2016-06-23 |
| 1891161931 | Stephanie Paugh | Pharmacist | 120 N 8th Ave, Bozeman, MT 59715-3316 | 2015-08-12 |
| 1265823454 | Kristal Barker | Pharmacist | 4871 Alpha Dr, Bozeman, MT 59718-9272 | 2015-02-10 |
| 1609265784 | Natalie Cooper | Pharmacist | 2988 Lily Dr, Bozeman, MT 59718-6023 | 2015-01-13 |
| 1255760377 | Cheryl Cattaneo | Pharmacist | 824 Rogers Way, Bozeman, MT 59718-2660 | 2013-11-08 |
| 1861829152 | Nicole Marie Marcellus-feenstra | Pharmacist | 1126 N 7th Ave, Bozeman, MT 59715-2508 | 2013-10-01 |
| 1003190182 | Shana Lynn Skradski | Pharmacist | 925 Highland Park Blvd, Suite 2000, Bozeman, MT 59715 | 2011-10-06 |
| 1548544059 | Carrie Mcclaughry | Pharmacist | 1050 Boylan Rd Apt 18, Bozeman, MT 59715-1511 | 2011-10-03 |
| Find all providers in BOZEMAN | ||||
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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.