MONTANA CVS PHARMACY LLC (NPI# 1699719062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699719062 |
| Entity Type | Organization |
| Organization Name | MONTANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #08622 |
| Practice Address |
1902 Brooks St Missoula MT 59801-6644 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4067281380 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2783000 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08622 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053614370 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3095 N Montana Ave, Helena, MT 59601-0552 | 2010-12-08 |
| 1265602502 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 307 Se 4th St, Laurel, MT 59044-3324 | 2008-03-03 |
| 1699945949 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 425 East Main St, Billings, MT 59105-3227 | 2008-03-03 |
| 1598959504 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2420 N Reserve St, Missoula, MT 59808-1317 | 2007-09-02 |
| 1114962115 | Montana Cvs Pharmacy LLC | Pharmacy | 603 N Montana Ave, Helena, MT 59601-3885 | 2006-06-17 |
| 1063456432 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2006-06-16 |
| 1972547347 | Montana Cvs Pharmacy LLC | Pharmacy | 2402 Grand Ave, Billings, MT 59102-2623 | 2006-06-16 |
| 1144264516 | Montana Cvs Pharmacy LLC | Pharmacy | 526 Euclid Ave, Helena, MT 59601-2856 | 2006-06-16 |
| 1881638252 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2001 10th Ave S, Great Falls, MT 59405-4413 | 2006-06-16 |
| 1508800970 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1275 Harrison Ave, Butte, MT 59701-4807 | 2006-06-16 |
| Street Address |
1902 BROOKS ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-6644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378439 | Shields LLC | Pharmacy | 1315 Wyoming St Ste A, Missoula, MT 59801-1725 | 2016-11-03 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 1194754119 | Missoula Fresh Market LLC | Pharmacy | 3801 S Reserve St, Missoula, MT 59801-7322 | 2006-07-02 |
| 1720024359 | Missoula Fresh Market LLC | Pharmacy | 800 W Broadway St, Missoula, MT 59802-3944 | 2006-06-21 |
| 1669410817 | Albertsons LLC | Pharmacy | 3800 S Russell St, Missoula, MT 59801-8525 | 2006-06-02 |
| 1003804436 | Rosauers Supermarkets Inc | Pharmacy | 2350 S Reserve St, Missoula, MT 59801-6447 | 2005-10-10 |
| 1922598481 | University of Montana | Pharmacy | 32 Campus Dr, Skaggs Building 216, Missoula, MT 59812-1522 | 2018-05-10 |
| 1083645113 | K Mart Corp | Pharmacy | 3626 Brooks St, Missoula, MT 59801-7360 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935310 | Sykes Pharmacy Columbia Falls Inc | Pharmacy | 500 12th Ave W Ste 1a, Columbia Falls, MT 59912-3818 | 2020-09-04 |
| 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 |
| 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 |
| 1871824300 | Nicolle T Sereday | Pharmacy | 4271 Us Highway 12 E, White Sulphur Springs, MT 59645 | 2010-01-22 |
| 1265676100 | Elkhorn Pharmacy Inc | Pharmacy | 215 N Main, Boulder, MT 59632-0026 | 2009-04-22 |
| 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.