MATOVICH ENTERPRISES INC (NPI# 1750439709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750439709 |
| Entity Type | Organization |
| Organization Name | MATOVICH ENTERPRISES INC |
| Other Organization Name | STILLWATER FAMILY PHARMACY |
| Practice Address |
133 N 5th Columbus MT 59019 |
| Mailing Address |
Po Box 719 Columbus MT 59019-0719 |
| Practice Telephone | 4063225652 |
| Practice Fax Number | 4063224960 |
| Mailing Telephone | 4063225652 |
| Mailing Fax Number | 4063224960 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | MICHAEL MATOVICH (OWNER) |
| Authorized Official Telephone | 4063225652 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA-PHR-LIC-602 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 212194 | 05 | |
| PK | 2050295 | 01 |
| Other Name | Type Code |
|---|---|
| Stillwater Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
133 N 5TH |
| City | COLUMBUS |
| State | MT |
| Zip Code | 59019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376939892 | Marni Kay Ferster | Occupational Therapy Assistant | 350 West Pike Avenue, Columbus, MT 59019 | 2015-04-10 |
| 1477943611 | Josh Fisher | Pharmacist | 133 N 5th St, Columbus, MT 59019 | 2015-01-26 |
| 1669879102 | Chris Ann Mccann | Counselor | 612 E Pike Ave, Columbus, MT 59019 | 2014-11-27 |
| 1760722300 | Janell Marie Gibson | Midwife | 506 5th St N, Columbus, MT 59019 | 2013-02-19 |
| 1487893376 | Columbus Rural Fire Distric | Ambulance | 944 E Pike Ave., Columbus, MT 59019 | 2009-02-17 |
| 1598978165 | Michael Robert Matovich | Pharmacist | 133 N. 5th Street, Columbus, MT 59019 | 2007-05-08 |
| 1205978798 | Daniel Jeffery Vesbach | Dentist | 340 E. Pike Ave, Columbus, MT 59019 | 2007-02-13 |
| 1093852030 | Dale W Schlehuber | Dentist | 12 N. 4th St., Columbus, MT 59019 | 2007-01-31 |
| 1144313701 | Richard K. Klee | Family Medicine | 407 N. A, Columbus, MT 59019 | 2006-10-02 |
| 1770522435 | Columbus Ambulance Service | Ambulance | 134 6th Ave N, Columbus, MT 59019 | 2006-06-06 |
| Find all providers in zip 59019 | ||||
| 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] |
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| 1467000638 | Hrb Health Solutions | Pharmacy | 5320 E Main St Ste 700, Columbus, OH 43213-2573 | 2019-08-29 |
| 1124683826 | Ohio State University Outpatient Pharmacy | Pharmacy | 181 Taylor Avenue, Room T0354, Columbus, OH 43203-1779 | 2019-05-08 |
| 1790340404 | Ohio State University Outpatient Pharmacy | Pharmacy | 410 W 10th Ave Rm 111, Columbus, OH 43210-1240 | 2019-05-08 |
| 1912488586 | Premierx Pharmacy Inc. | Pharmacy | 4633 Morse Centre Rd, Columbus, OH 43229-6601 | 2018-08-22 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1285125161 | Westerville Road Pharmacy, LLC | Pharmacy | 2709 Westerville Rd, Columbus, OH 43224-4440 | 2018-05-25 |
| 1285158667 | Shiffa Pharmacy | Pharmacy | 2330 Morse Rd Unit D, Columbus, OH 43229-5804 | 2017-07-27 |
| Find all providers in COLUMBUS | ||||
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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.