KOOTENAI DRUG AND HARDWARE INC (NPI# 1912940297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912940297 |
| Entity Type | Organization |
| Organization Name | KOOTENAI DRUG AND HARDWARE INC |
| Other Organization Name | KOOTENAI DRUG |
| Practice Address |
611 E Missoula Ave Troy MT 59935 |
| Mailing Address |
611 E Missoula Ave Po Box 328 Troy MT 59935 |
| Practice Telephone | 4062954361 |
| Practice Fax Number | 4062955326 |
| Mailing Telephone | 4062954361 |
| Mailing Fax Number | 4062955326 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-02-27 |
| Authorized Official Name | CHRISTOPHER HERMES (OWNER) |
| Authorized Official Telephone | 4062954361 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1150 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0214455 | 05 | |
| PK | 2050152 | 01 |
| Other Name | Type Code |
|---|---|
| KOOTENAI DRUG | Doing Business As Name - Organization |
| Street Address |
611 E MISSOULA AVE |
| City | TROY |
| State | MT |
| Zip Code | 59935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659565869 | Christopher Dean Hermes | Pharmacist | 611 E Missoula Ave, Troy, MT 59935 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013417765 | Katharine Pfeifer | Dental Hygienist | 102 Sandalwood Court, Troy, MT 59935 | 2018-02-20 |
| 1033667530 | Michael Wells | Pharmacist | 611 East Missoula Ave., Troy, MT 59935 | 2016-09-14 |
| 1053796680 | Shayna Wilson Massage | Health Maintenance Organization | 304 North 2nd Street, Troy, MT 59935 | 2015-07-24 |
| 1407139942 | Christopher Rawlings | Marriage & Family Therapist | 31733 South Fork Road, Troy, MT 59935 | 2011-09-21 |
| 1417243213 | Lincoln County Community Health Center, Inc | Clinic/Center | 206 Callahan Rd, Troy, MT 59935 | 2011-06-21 |
| 1043547383 | Family Solutions Network, Inc. | Substance Abuse Rehabilitation Facility | 31733 South Fork Rd, Troy, MT 59935 | 2009-11-06 |
| 1952634032 | Terri Z Revell | Technician, Other | 101 N Kootenai Dr, Troy, MT 59935 | 2009-09-08 |
| 1588834279 | Medicine Tree Primary Care Inc | Clinic/Center | 318 E Kootenai Ave, Troy, MT 59935 | 2008-03-10 |
| 1407907074 | Connie Boyd | Nurse Practitioner | 318 Kootenai, Troy, MT 59935 | 2007-01-12 |
| 1336173814 | Steven R Mendive | Dentist | 206 Callahan Avenue, Troy, MT 59935 | 2006-07-10 |
| Find all providers in zip 59935 | ||||
| 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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| 1881052611 | Accela Inc | Pharmacy | 1179 Maplelawn Dr Ste A, Troy, MI 48084-5515 | 2016-02-08 |
| 1922322007 | Ahak Co | Pharmacy | 1639 E Big Beaver Rd Ste 101, Troy, MI 48083-2053 | 2010-03-18 |
| 1780788448 | Cvs Albany LLC | Pharmacy | 461 2nd Ave, Troy, NY 12182-2933 | 2006-09-12 |
| Find all providers in TROY | ||||
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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.