DOMINIQUE DYNSE PREPUTIN (NPI# 1962529255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962529255 |
| Entity Type | Individual |
| Full Name | DOMINIQUE DYNSE PREPUTIN |
| Credential | PHARM D, RPH |
| Practice Address |
123 5th Ave Ste B Havre MT 59501-3624 |
| Mailing Address |
2351 St Joe Rd Havre MT 59501-8095 |
| Practice Telephone | 4062659601 |
| Practice Fax Number | 4062654422 |
| Mailing Telephone | 4062659601 |
| Mailing Fax Number | 4062654422 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4422 | MT | Pharmacy Service Providers |
| Street Address |
123 5TH AVE STE B |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346611837 | Leann Capdeville | Pharmacist | 123 5th Ave Ste B, Havre, MT 59501-3623 | 2015-10-09 |
| 1487916706 | Brittne Ann Zimmer | Pharmacist | 123 5th Ave Ste B, Havre, MT 59501-3623 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| 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 |
|---|---|---|---|---|
| 1669848065 | Kyla Otto | Pharmacist | 3180 Us Highway 2 W, Havre, MT 59501-6000 | 2015-08-19 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1730338047 | Calvin Lien | Pharmacist | 15 5th St, Havre, MT 59501-3925 | 2008-09-10 |
| 1255524724 | Kyle Austin | Pharmacist | 38504 Us Highway 2, Havre, MT 59501-8232 | 2007-08-19 |
| 1265045926 | Alexa Christian | Pharmacist | 730 1st St, Havre, MT 59501-3702 | 2020-08-24 |
| 1598399339 | Eric Ward | Pharmacist | 730 1st St, Havre, MT 59501-3702 | 2020-03-02 |
| 1326689274 | Patrick A Thorsen | Pharmacist | 20 13th St W, Havre, MT 59501-5215 | 2019-10-02 |
| 1023525607 | Dennis Heggem | Pharmacist | 3510 Us Highway 2 W, Havre, MT 59501-6013 | 2018-01-05 |
| 1346611837 | Leann Capdeville | Pharmacist | 123 5th Ave Ste B, Havre, MT 59501-3623 | 2015-10-09 |
| Find all providers in HAVRE | ||||
Please comment or provide details below to improve the information on DOMINIQUE DYNSE PREPUTIN.
| 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.