MONTANA CVS PHARMACY LLC (NPI# 1598959504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598959504 |
| Entity Type | Organization |
| Organization Name | MONTANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16320 |
| Practice Address |
2420 N Reserve St Missoula MT 59808-1317 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4065434000 |
| Practice Fax Number | 4062143438 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA-PHR-LIC-3528 | MT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2052651 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16320 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053614370 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3095 N Montana Ave, Helena, MT 59601-0552 | 2010-12-08 |
| 1265602502 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 307 Se 4th St, Laurel, MT 59044-3324 | 2008-03-03 |
| 1699945949 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 425 East Main St, Billings, MT 59105-3227 | 2008-03-03 |
| 1114962115 | Montana Cvs Pharmacy LLC | Pharmacy | 603 N Montana Ave, Helena, MT 59601-3885 | 2006-06-17 |
| 1063456432 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2006-06-16 |
| 1699719062 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1902 Brooks St, Missoula, MT 59801-6644 | 2006-06-16 |
| 1972547347 | Montana Cvs Pharmacy LLC | Pharmacy | 2402 Grand Ave, Billings, MT 59102-2623 | 2006-06-16 |
| 1144264516 | Montana Cvs Pharmacy LLC | Pharmacy | 526 Euclid Ave, Helena, MT 59601-2856 | 2006-06-16 |
| 1881638252 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2001 10th Ave S, Great Falls, MT 59405-4413 | 2006-06-16 |
| 1508800970 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1275 Harrison Ave, Butte, MT 59701-4807 | 2006-06-16 |
| Street Address |
2420 N RESERVE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518368752 | Nancy Connors-gaul | Pharmacist | 2420 N Reserve St, Missoula, MT 59808-1317 | 2014-09-08 |
| 1710274063 | Molly Beth Grutsch | Pharmacist | 2420 N Reserve St, T-0885, Missoula, MT 59808-1317 | 2011-07-07 |
| 1831484401 | Cherith Smith | Pharmacist | 2420 N Reserve St, Missoula, MT 59808-1317 | 2011-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378439 | Shields LLC | Pharmacy | 1315 Wyoming St Ste A, Missoula, MT 59801-1725 | 2016-11-03 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 1194754119 | Missoula Fresh Market LLC | Pharmacy | 3801 S Reserve St, Missoula, MT 59801-7322 | 2006-07-02 |
| 1720024359 | Missoula Fresh Market LLC | Pharmacy | 800 W Broadway St, Missoula, MT 59802-3944 | 2006-06-21 |
| 1669410817 | Albertsons LLC | Pharmacy | 3800 S Russell St, Missoula, MT 59801-8525 | 2006-06-02 |
| 1003804436 | Rosauers Supermarkets Inc | Pharmacy | 2350 S Reserve St, Missoula, MT 59801-6447 | 2005-10-10 |
| 1922598481 | University of Montana | Pharmacy | 32 Campus Dr, Skaggs Building 216, Missoula, MT 59812-1522 | 2018-05-10 |
| 1083645113 | K Mart Corp | Pharmacy | 3626 Brooks St, Missoula, MT 59801-7360 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935310 | Sykes Pharmacy Columbia Falls Inc | Pharmacy | 500 12th Ave W Ste 1a, Columbia Falls, MT 59912-3818 | 2020-09-04 |
| 1639625064 | Shopko Stores Operating Co LLC | Pharmacy | 1001 N Center Ave, Hardin, MT 59034-1101 | 2016-08-26 |
| 1043681745 | Walmart Pharmacy | Pharmacy | 443 Osborn Ave, Bigfork, MT 59911-3671 | 2015-10-07 |
| 1164809778 | Credena Health LLC | Pharmacy | 50331a Us Highway 93, Polson, MT 59860-7046 | 2015-05-04 |
| 1962823054 | Vendor Pro Corporation | Pharmacy | 1627 W Main St., Suite 446, Bozeman, MT 59715-4011 | 2013-12-17 |
| 1073853941 | Vans Iga of Dillon Inc | Pharmacy | 110 Southside Blvd, Dillon, MT 59725-3536 | 2013-02-28 |
| 1477850931 | Lakeside Pharmacy LLC | Pharmacy | 7100 Hwy 93 South, Suite A, Lakeside, MT 59922 | 2011-02-18 |
| 1790002566 | Big Sandy Pharmacy Inc | Pharmacy | 158 Johannes Ave, Big Sandy, MT 59520 | 2010-05-03 |
| 1871824300 | Nicolle T Sereday | Pharmacy | 4271 Us Highway 12 E, White Sulphur Springs, MT 59645 | 2010-01-22 |
| 1265676100 | Elkhorn Pharmacy Inc | Pharmacy | 215 N Main, Boulder, MT 59632-0026 | 2009-04-22 |
| 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.