PAMIDA STORES OPERATING CO., LLC (NPI# 1669633491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669633491 |
| Entity Type | Organization |
| Organization Name | PAMIDA STORES OPERATING CO., LLC |
| Other Organization Name | PAMIDA PHARMACY #690 |
| Practice Address |
136 Mcleod Big Timber MT 59011 |
| Practice Telephone | 4069325316 |
| Mailing Telephone | 4069325316 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | MR. JOHN HARLOW (CEO/PRESIDENT) |
| Authorized Official Telephone | 4025967206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1268 | MT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | NCPDP | 2783416 | 01 |
| Other Name | Type Code |
|---|---|
| Pamida Pharmacy #690 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952574105 | Pamida Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 118 South Interocean Ave, Holyoke, CO 80734 | 2008-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PAMIDA STORES OPERATING CO., LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Colorado Business Entities | Pamida Stores Operating Co., LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Street Address |
136 MCLEOD |
| City | BIG TIMBER |
| State | MT |
| Zip Code | 59011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376950998 | Doug W Baggett | Pharmacist | 136 Mcleod, Box 1490, Big Timber, MT 59011 | 2014-07-15 |
| 1528313376 | Garden Park Managment, LLC | Pharmacy | 136 Mcleod, Big Timber, MT 59011 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235313743 | Holly Hatch Lcsw PC | Counselor | 418 First St, Big Timber, MT 59011 | 2007-12-19 |
| 1881810497 | Cole Drug | Durable Medical Equipment & Medical Supplies | 136 Mcleod St, Bigtimber, MT 59011 | 2007-04-18 |
| 1861617227 | Keith E Pendill | Counselor | 515 Hooper, Big Timber, MT 59011 | 2007-04-13 |
| 1972636900 | Kent T Brown Od, PC | Optometrist | 112 Mcleod Street, Big Timber, MT 59011 | 2007-03-13 |
| 1407986854 | County of Sweet Grass | Clinic/Center | 701 Stock Street, Suite C, Big Timber, MT 59011 | 2007-03-06 |
| 1558428656 | Sarah Walton | Nurse Practitioner | 701 Stock St, Suite 2, Big Timber, MT 59011 | 2007-01-02 |
| 1609803576 | Holly Hatch | Counselor | 418 First Street, Big Timber, MT 59011 | 2006-06-27 |
| 1740279389 | Wallace Chester Walker | Family Medicine | 301 West 7th Ave, Big Timber, MT 59011 | 2005-10-17 |
| 1487711487 | County of Sweet Grass | Skilled Nursing Facility | 301 West 7th Ave, Suite L, Big Timber, MT 59011 | 2007-01-02 |
| 1972549228 | Sweet Grass County | General Acute Care Hospital | 301 West 7th Ave, Big Timber, MT 59011 | 2006-06-22 |
| Find all providers in zip 59011 | ||||
| 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 |
|---|---|---|---|---|
| 1528313376 | Garden Park Managment, LLC | Pharmacy | 136 Mcleod, Big Timber, MT 59011 | 2012-07-18 |
| 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 | ||||
| City | BIG TIMBER |
| Zip Code | 59011 |
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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.