MONTANA CVS PHARMACY LLC (NPI# 1053614370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053614370 |
| Entity Type | Organization |
| Organization Name | MONTANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #04278 |
| Practice Address |
3095 N Montana Ave Helena MT 59601-0552 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4064433331 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-06-07 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MT MEDICAID - DME | 1053614370 | 01 |
| MT | 1053614370 | 05 | |
| NCPDP - OTHER COMMERCIAL IDENTIFIER | 2783707 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04278 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265602502 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 307 Se 4th St, Laurel, MT 59044-3324 | 2008-03-03 |
| 1699945949 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 425 East Main St, Billings, MT 59105-3227 | 2008-03-03 |
| 1598959504 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2420 N Reserve St, Missoula, MT 59808-1317 | 2007-09-02 |
| 1114962115 | Montana Cvs Pharmacy LLC | Pharmacy | 603 N Montana Ave, Helena, MT 59601-3885 | 2006-06-17 |
| 1063456432 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 115 N 19th Ave, Bozeman, MT 59718-4072 | 2006-06-16 |
| 1699719062 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1902 Brooks St, Missoula, MT 59801-6644 | 2006-06-16 |
| 1972547347 | Montana Cvs Pharmacy LLC | Pharmacy | 2402 Grand Ave, Billings, MT 59102-2623 | 2006-06-16 |
| 1144264516 | Montana Cvs Pharmacy LLC | Pharmacy | 526 Euclid Ave, Helena, MT 59601-2856 | 2006-06-16 |
| 1881638252 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2001 10th Ave S, Great Falls, MT 59405-4413 | 2006-06-16 |
| 1508800970 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1275 Harrison Ave, Butte, MT 59701-4807 | 2006-06-16 |
| Street Address |
3095 N MONTANA AVE |
| City | HELENA |
| State | MT |
| Zip Code | 59601-0552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982043873 | Dorothy Harthorn | Pharmacist | 3095 N Montana Ave, Helena, MT 59601-0552 | 2013-06-24 |
| 1114284866 | Meghan E Cavazos | Pharmacist | 3095 N Montana Ave, Helena, MT 59601-0552 | 2012-04-19 |
| 1710254818 | Heather Ann Horswill | Pharmacist | 3095 N Montana Ave, Helena, MT 59601-0552 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
| 1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
| 1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
| 1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
| 1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| Find all providers in zip 59601 | ||||
| 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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| 1114011517 | Western Drug of Billings Inc | Pharmacy | 3065 N Montana Ave, Helena, MT 59601-0552 | 2006-10-03 |
| 1659303683 | Freds Stores of Tennessee Inc | Pharmacy | 124 8th St, Helena, GA 31037-9738 | 2006-07-07 |
| 1093701336 | Benzer Ar 1 LLC | Pharmacy | 300 Perry St, Helena, AR 72342-3325 | 2005-09-22 |
| 1639190689 | South Hills Pharmacy Inc | Pharmacy | 2600 Winne Ave, Helena, MT 59601-4900 | 2006-07-22 |
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| 1639625064 | Shopko Stores Operating Co LLC | Pharmacy | 1001 N Center Ave, Hardin, MT 59034-1101 | 2016-08-26 |
| 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 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 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 |
| 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.