HEFFERNAN DRUG INC (NPI# 1639435399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639435399 |
| Entity Type | Organization |
| Organization Name | HEFFERNAN DRUG INC |
| Practice Address |
103 Glacier Dr Lolo MT 59847-8700 |
| Practice Telephone | 4062732322 |
| Practice Fax Number | 4062734208 |
| Mailing Telephone | 4062732322 |
| Mailing Fax Number | 4062734208 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2020-05-17 |
| Authorized Official Name | COREY ROBERT HEFFERNANA (OWNER) |
| Authorized Official Telephone | 4062732322 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8859 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2134770 | 01 | |
| MT | 1639435399 | 05 |
| Other Name | Type Code |
|---|---|
| Lolo Drug | Doing Business As Name - Organization |
| Lolo Drug LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011190 | Heffernan Drug Inc | Pharmacy | 918 Sw Higgins Ave, Missoula, MT 59803-3606 | 2006-07-09 |
| Street Address |
103 GLACIER DR |
| City | LOLO |
| State | MT |
| Zip Code | 59847-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528073152 | Robert Dean Wilcox | Pharmacy | 103 Glacier Dr, Lolo, MT 59847-8700 | 2006-07-30 |
| 1710237961 | Ross William Roadarmel | Pharmacist | 103 Glacier Dr, Lolo, MT 59847-8700 | 2012-09-14 |
| 1467738849 | Corey Robert Heffernan | Pharmacist | 103 Glacier Dr, Lolo, MT 59847-8700 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780702381 | Debby M Kittel | Specialist/Technologist | 5252 Avalon Lane, Lolo, MT 59847 | 2007-03-26 |
| 1972620482 | Lolo School District Number Seven | Local Education Agency (LEA) | 11395 Us Highway 93 South, Lolo, MT 59847 | 2007-03-22 |
| 1255496717 | Brandon Ray Wright | Dentist | 108 Tyler Way, Lolo, MT 59847 | 2006-12-26 |
| 1629133186 | Lolo Dental Clinic PC | Dentist | 108 Tyler Way, Lolo, MT 59847 | 2006-12-26 |
| 1154486611 | Steven Max Hillberry | Dentist | 108 Tyler Way, Lolo, MT 59847 | 2006-12-26 |
| 1457556763 | Building New Horizons Inc | Local Education Agency (LEA) | Po Box 272, Lolo, MT 59847-0272 | 2007-06-18 |
| 1649504747 | Denise Birkholz | Specialist/Technologist, Other | 11227 Stella Blue Dr, Lolo, MT 59847-8490 | 2009-09-23 |
| 1528301611 | Brian Edward Garnett | Pharmacist | 11461 Stella Blue Dr, Lolo, MT 59847-8492 | 2013-03-27 |
| 1336635150 | Mckayla Mcnamara | Specialist/Technologist | 10980 Cayuse Ct Apt 1, Lolo, MT 59847-8543 | 2018-07-04 |
| 1356407266 | Charlotte Sophia Kasl | Counselor | 7725 Moe Rd, Lolo, MT 59847-8612 | 2006-12-28 |
| Find all providers in zip 59847 | ||||
| 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 |
|---|---|---|---|---|
| 1528073152 | Robert Dean Wilcox | Pharmacy | 103 Glacier Dr, Lolo, MT 59847-8700 | 2006-07-30 |
| 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.