PRYOR HEALTH STATION PHARMACY (NPI# 1619007242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619007242 |
| Entity Type | Organization |
| Organization Name | PRYOR HEALTH STATION PHARMACY |
| Practice Address |
Pryor Gap Rd Pryor MT 59066 |
| Mailing Address |
Pryor Gap Rd Po Box 9 Pryor MT 59066 |
| Practice Telephone | 4062598238 |
| Practice Fax Number | 4062598290 |
| Mailing Telephone | 4062598238 |
| Mailing Fax Number | 4062598290 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA LARSEN (AREA BUSINESS OFFICE COORDINATOR) |
| Authorized Official Telephone | 4062477184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 2210000 | 05 | |
| NCPDP | 2763084 | 01 | |
| PHARMACY DEA | BU3927994 | 01 |
| Street Address |
PRYOR GAP RD |
| City | PRYOR |
| State | MT |
| Zip Code | 59066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598843922 | One Life Inc. | Nurse Practitioner | 186 S. Third Street, Hamilton, MT 59066 | 2006-11-02 |
| 1154873867 | Suzanne Owens | Registered Nurse | 2 Pryor Gap Road, Pryor, MT 59066-0009 | 2016-10-28 |
| 1407076219 | Us Health Dept of Health & Human Services | General Acute Care Hospital | Pryor Gap Road, Pryor, MT 59066-0009 | 2007-04-26 |
| 1295943934 | Sandra Fisher | Pharmacist | Pryor Gap Road, Pryor, MT 59066-0009 | 2007-05-18 |
| 1134428204 | Pryor School District | Local Education Agency (LEA) | 1 High School Lane, Pryor, MT 59066-0229 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1790301893 | Second Chance Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 4238 Ne 1st St, Pryor, OK 74361-9614 | 2020-06-24 |
| 1831715622 | Katrina Ann Deutscher | Peer Specialist | 109 N Fairland St., Pryor, OK 74361-4203 | 2020-06-18 |
| 1508489006 | Bridget Lee Tipton | Counselor | 410 N Ora St, Pryor, OK 74361-2815 | 2020-05-19 |
| 1740837582 | Kaitlyn M Soldier | Counselor | 611 Belmonte Ct, Pryor, OK 74361-2820 | 2019-08-26 |
| 1922573500 | Advanced Dental Solutions, PC | Dentist | 1909 S Elliott St, Pryor, OK 74361-8027 | 2018-10-10 |
| 1740763630 | Alexander Corral | Peer Specialist | 209 Sw 2nd St, Pryor, OK 74361-3407 | 2018-09-07 |
| 1205313830 | Vialife Hospice LLC | Hospice Care, Community Based | 108 N Adair St Ste C, Pryor, OK 74361-2412 | 2018-07-26 |
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1558860791 | Nathan Sickmann | Specialist/Technologist | 1100 Se 9th St, Pryor, OK 74361-7234 | 2018-02-02 |
| Find all providers in PRYOR | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669501649 | Lodge Grass Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Harding Ave, Lodge Grass, MT 59050 | 2007-03-05 |
| 1699801779 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59417 | 2007-02-26 |
| 1306972633 | Hays Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123 White Crow Rd, Hays, MT 59527 | 2007-02-23 |
| 1861528192 | Fort Belknap Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 456 Gros Ventre Ave, Rr1, Box 67, Harlem, MT 59526 | 2007-02-23 |
| 1952437287 | Crow Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 Highway and I-90 Intersection, Crow Agency, MT 59022 | 2007-02-23 |
| 1821123522 | Blackfeet Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 760 Hospital Cir, Browning, MT 59417 | 2007-02-22 |
| 1124403753 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59448-0080 | 2015-07-24 |
| 1316158280 | Rocky Boy Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2007-05-24 |
| 1588791586 | Poplar Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 107 H St E, Poplar, MT 59255 | 2007-02-27 |
| 1588791594 | Wolf Point Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 550 6th Ave N, Wolf Point, MT 59201 | 2007-02-27 |
| 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.