HAINES MEDICAL PHARMACY, INC. (NPI# 1639129497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639129497 |
| Entity Type | Organization |
| Organization Name | HAINES MEDICAL PHARMACY, INC. |
| Other Organization Name | HAINES MEDICAL PHARMACY |
| Practice Address |
1111 Baker Ave Whitefish MT 59937-2905 |
| Practice Telephone | 4068626301 |
| Practice Fax Number | 4068626312 |
| Mailing Telephone | 4068626301 |
| Mailing Fax Number | 4068626312 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JUSTIN S MACKENZIE (OWNER/PHARMACY MANAGER) |
| Authorized Official Telephone | 4068626301 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1064 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | NABP # | 2706565 | 01 |
| MT | MT PHARMACY # | 1064 | 01 |
| MT | 212772 | 05 | |
| MT | DEA # | BH7570802 | 01 |
| Other Name | Type Code |
|---|---|
| Haines Medical Pharmacy | Doing Business As Name - Organization |
| Street Address |
1111 BAKER AVE |
| City | WHITEFISH |
| State | MT |
| Zip Code | 59937-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319216 | Bayne Andre Lee French | Family Medicine | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2006-01-09 |
| 1225637663 | Grace Anne Gensamer | Massage Therapist | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2020-10-17 |
| 1205456043 | Matthew James Huston | Pharmacist | 1111 Baker Ave, Suite 101, Whitefish, MT 59937 | 2020-04-22 |
| 1144870007 | Taylor Read | Physician Assistant | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2019-09-12 |
| 1376198564 | Erika Wright | Physician Assistant | 1111 Baker Ave, Whitefish, MT 59937 | 2019-08-05 |
| 1497224562 | Karly Jean Skindingsrude | Massage Therapist | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2018-11-19 |
| 1003338765 | Huston Healthcare LLC | Pharmacy | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2017-07-13 |
| 1861944852 | Shannon Boese | Physician Assistant | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2016-10-26 |
| 1639529639 | Karen Elise Vesely | Family Medicine | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2016-06-21 |
| 1205212966 | Brandom Jones Price | Nurse Practitioner | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042246 | Gaelen Engler | Social Worker | 144 2nd St, Whitefish, MT 59937 | 2020-08-05 |
| 1649818808 | Columbia Falls Family Dental Center PC | Dentist | 6360 Us Hwy 93 South, Whitefish, MT 59937 | 2019-12-18 |
| 1962040220 | Jordan Gilbert | Social Worker | 144-a Second Street West, Whitefish, MT 59937 | 2019-12-18 |
| 1821652819 | Jordan Fiorillo Scotti | Psychologist | 144 2nd Street, Whitefish, MT 59937 | 2019-04-25 |
| 1982195772 | Elizabeth Thomas | Massage Therapist | 6475 Highway 93 South, Ste 22, Whitefish, MT 59937 | 2018-05-29 |
| 1205349032 | Lindsey Marie Jordan | Counselor | 1143 4th St, Whitefish, MT 59937 | 2017-11-15 |
| 1023547916 | Leah Hanson | Massage Therapist | 505 Spokane, Whitefish, MT 59937 | 2017-06-05 |
| 1992106579 | Julie Ogle | Occupational Therapist | 1305 E. 7th Street, Genesis Healthcare Whitefish Center, Whitefish, MT 59937 | 2014-09-15 |
| 1588081012 | Dina Marie Deeds | Registered Nurse | 600 8th Street East, Whitefish, MT 59937 | 2014-03-21 |
| 1376809061 | North Valley Hospital, Inc | Clinic/Center | 3004 Hospital Way, Whitefish, MT 59937 | 2012-04-06 |
| Find all providers in zip 59937 | ||||
| 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 |
|---|---|---|---|---|
| 1124059480 | Haines Public Drug, Inc. | Pharmacy | 148 Central Ave, Whitefish, MT 59937-2549 | 2006-07-05 |
| 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 |
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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.