HEFFERNAN DRUG INC (NPI# 1720011190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720011190 |
| Entity Type | Organization |
| Organization Name | HEFFERNAN DRUG INC |
| Other Organization Name | PALMER'S DRUG CO |
| Practice Address |
918 Sw Higgins Ave Missoula MT 59803-3606 |
| Mailing Address |
918 Sw Higgins Ave Missoula MT 59803-0000 |
| Practice Telephone | 4065494125 |
| Practice Fax Number | 4065498310 |
| Mailing Telephone | 4065494125 |
| Mailing Fax Number | 4065498310 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | COREY ROBERT HEFFERNAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4062732322 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | HEFFERNAN DRUG INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1039 | MT | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2050181 | 01 | |
| MT | 00221143 | 05 | |
| MT | 00566228 | 05 | |
| MT | 7092462 | 05 |
| Other Name | Type Code |
|---|---|
| Palmer's Drug Co | Doing Business As Name - Organization |
| PALMERS DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639435399 | Heffernan Drug Inc | Pharmacy | 103 Glacier Dr, Lolo, MT 59847-8700 | 2012-04-06 |
| Street Address |
918 SW HIGGINS AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131315 | James Edward Oconnor | Pharmacist | 918 Sw Higgins Ave, Missoula, MT 59803-3606 | 2005-11-16 |
| 1326291741 | David Brent Duke | Dentist | 918 Sw Higgins Ave, Missoula, MT 59803-3606 | 2008-10-29 |
| 1578679569 | Raina L. White | Pharmacist | 918 Sw Higgins Ave, Missoula, MT 59803-3606 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| 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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|---|---|---|---|---|
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| 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 |
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| 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.