BROADUS FOODS, INC (NPI# 1669795647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669795647 |
| Entity Type | Organization |
| Organization Name | BROADUS FOODS, INC |
| Other Organization Name | BROADUS IGA PHARMACY |
| Practice Address |
120 S Park Avenue Broadus MT 59317-0549 |
| Mailing Address |
Po Box 549 Broadus MT 59317-0549 |
| Practice Telephone | 4064362270 |
| Practice Fax Number | 4064362362 |
| Mailing Telephone | 4064362270 |
| Mailing Fax Number | 4064362362 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | JAMI JO SCHROEDER (PHARMACIST IN CHARGE/MANAGER) |
| Authorized Official Telephone | 4064362270 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1305 | MT | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124096 | 01 |
| Other Name | Type Code |
|---|---|
| Broadus IGA | Doing Business As Name - Organization |
| Broadus IGA Pharmacy | Doing Business As Name - Organization |
| Street Address |
120 S PARK AVENUE |
| City | BROADUS |
| State | MT |
| Zip Code | 59317-0549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
| 1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
| 1760768873 | Jami Jo Schroeder | Pharmacist | 120 S Park Ave, Broadus, MT 59317 | 2011-11-02 |
| 1316953102 | Larry's Iga Pharmacy | Pharmacy | 120 S. Park Street, Broadus, MT 59317 | 2006-07-31 |
| 1952550535 | Jesse Ambulance Service | Ambulance | 201 East Holt Street, Broadus, MT 59317-0000 | 2008-09-18 |
| 1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
| 1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
| 1376606517 | Powder River Publichealth | Registered Nurse | 507 N. Lincoln, Broadus, MT 59317-0210 | 2006-12-19 |
| 1396052379 | Jaci 'k' Jean Phillips | Nurse Practitioner | 507 North Lincoln Avenue, Broadus, MT 59317-0489 | 2010-09-11 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| Find all providers in zip 59317 | ||||
| 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] |
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|---|---|---|---|---|
| 1154935310 | Sykes Pharmacy Columbia Falls Inc | Pharmacy | 500 12th Ave W Ste 1a, Columbia Falls, MT 59912-3818 | 2020-09-04 |
| 1104378439 | Shields LLC | Pharmacy | 1315 Wyoming St Ste A, Missoula, MT 59801-1725 | 2016-11-03 |
| 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 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 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 |
| 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.