ENNIS PHARMACY & YESTERDAYS (NPI# 1932241700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932241700 |
Entity Type | Organization |
Organization Name | ENNIS PHARMACY & YESTERDAYS |
Other Organization Name | ENNIS HEALTH MART PHARMACY |
Practice Address |
124 Main St Ennis MT 59729-0306 |
Mailing Address |
Po Box 306 Ennis MT 59729-0306 |
Practice Telephone | 4066824246 |
Practice Fax Number | 4066827568 |
Mailing Telephone | 4066824246 |
Mailing Fax Number | 4066827568 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2016-01-22 |
Authorized Official Name | MARIE LENA HAJNY (OWNER) |
Authorized Official Telephone | 4066824246 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 183500000X | Pharmacist | 807 | MT | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 221377 | 05 |
Other Name | Type Code |
---|---|
ennis health mart pharmacy | Doing Business As Name - Organization |
Street Address |
124 MAIN ST |
City | ENNIS |
State | MT |
Zip Code | 59729-0306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639216567 | Marie Lena Hajny | Pharmacist | 124 Main St, Ennis, MT 59729-0306 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528300159 | Lindsay Degroot | Counselor | 1 Steambath Dr, Suite B, Ennis, MT 59729 | 2013-03-21 |
1447583059 | Lacey Hanson | Counselor | 6 Wapiti Lane, Ennis, MT 59729 | 2009-09-14 |
1861676744 | Neil Edgar Falkenburg | Psychiatry & Neurology | 14 Sidehill Trail, Ennis, MT 59729 | 2007-12-27 |
1235257239 | Darci L Sgrignoli | Occupational Therapist | 217 N. Main, Rehab Dept, Ennis, MT 59729 | 2007-03-27 |
1588745715 | Jeanne Marie Diebert | Dietitian, Registered | 222 E. Main Unit 1f, Ennis, MT 59729 | 2006-10-17 |
1932194784 | Carson Curtis Blake | Family Medicine | 305 N. Main, Ennis, MT 59729 | 2005-09-19 |
1265679831 | Martin Eugene Hensel | Physician Assistant | 305 N. Main, Ennis, MT 59729 | 2009-01-19 |
1972754505 | Morgan L. Stearns | Physician Assistant | 305 N. Main, Ennis, MT 59729 | 2008-10-01 |
1255493235 | Town of Ennis | Emergency Medical Technician, Basic | 328 West Main St., Ennis, MT 59729-0147 | 2006-12-15 |
1033154844 | Madison County Finance | Skilled Nursing Facility | 211 N Main Street, Ennis, MT 59729-0335 | 2006-06-17 |
Find all providers in zip 59729 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
1922216241 | Sam N Blackstone Jr. | Pharmacist | 718 W Lampasas St, Ennis, TX 75119-4534 | 2007-05-18 |
1922608793 | Tracy Tram Pham | Pharmacist | 700 E Ennis Ave, Ennis, TX 75119-4209 | 2020-10-29 |
1184256737 | Nicholas A Robinson | Pharmacist | 606 W Ennis Ave, Ennis, TX 75119-3806 | 2020-02-11 |
1336791383 | Justin Lee Spence | Pharmacist | 718 W Lampasas St, Ennis, TX 75119-4534 | 2019-07-10 |
1205220118 | Chi-dung John Nguyen | Pharmacist | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2015-03-28 |
1912308297 | Joshua D Montney | Pharmacist | 606 W Ennis Ave, Ennis, TX 75119-3806 | 2014-09-05 |
1861778375 | Italia Coleman | Pharmacist | 606 W Ennis Ave, Ennis, TX 75119-3806 | 2011-10-27 |
1053690073 | Freddie Yeung | Pharmacist | 606 W Ennis Ave, Ennis, TX 75119-3806 | 2011-08-08 |
1861798415 | Kevin James Rigsby | Pharmacist | 1400 Medical Center Dr, Ennis, TX 75119-1587 | 2011-01-30 |
Find all providers in ENNIS |
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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.