DR. KACIE K HENDRICKS


Address: 40774 Mt Highway 35, Polson, MT 59860
Phone: 4068833674

DR. KACIE K HENDRICKS (NPI# 1104126713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104126713
Entity Type Individual
Full Name DR. KACIE K HENDRICKS
Credential PHARMD
Practice Address 40774 Mt Highway 35
Polson
MT 59860
Mailing Address 40774 Mt Highway 35
Polson
MT 59860-7745
Practice Telephone 4068833674
Practice Fax Number 4068833694
Mailing Telephone 4068833674
Mailing Fax Number 4068833694
Enumeration Date 2010-10-28
Last Update Date 2018-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 5686 MT Pharmacy Service Providers

Office Location

Street Address 40774 MT HIGHWAY 35
City POLSON
State MT
Zip Code 59860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477582492 Safeway Inc Durable Medical Equipment & Medical Supplies 40774 Mt Highway 35, Polson, MT 59860-7745 2006-07-02
1639553092 Katherine Jean Devlin Pharmacist 40774 Mt Highway 35, Polson, MT 59860-7745 2015-07-16
1578866190 Tricia L Campbell Pharmacist 40774 Mt Highway 35, Polson, MT 59860-7745 2010-12-21
1518267285 Dale Stoverud Pharmacist 40774 Mt Highway 35, Polson, MT 59860-7745 2010-10-28
1598065195 Ernest Malden Ratzburg Pharmacist 40774 Mt Highway 35, Polson, MT 59860-7745 2010-10-28
1578863171 Elizabeth Duckworth Pharmacist 40774 Mt Highway 35, Polson, MT 59860-7745 2010-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679095020 Ashley J Gilham Registered Nurse #5 4th Ave E., Polson, MT 59860 2017-07-07
1225585532 St. Luke Community Hospital Clinic/Center 107 Ridgewater Dr., Polson, MT 59860 2016-09-02
1306202163 Western Montana Mental Health Center Community Based Residential Treatment Facility, Mental Illness 7 13th Ave East, Polson, MT 59860 2016-01-11
1154730364 Wanda L King Dietitian, Registered 6 Thirteenth Avenue East, Poslon, MT 59860 2014-08-13
1104255637 Dacia Lee Antiste-fisher Counselor #5 4th Ave. E., Polson, MT 59860 2013-11-05
1154758134 Richard Pierre Pharmacy Technician 5 4th Ave E., Polson, MT 59860 2013-10-04
1154755197 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 36318 Memory Lane, Polson, MT 59860 2013-08-27
1245582022 Catherine D Addison Registered Nurse 5 4th Ave. East, Polson, MT 59860 2012-10-04
1114220787 Erika Ann Weber Social Worker #5 4th Ave. E, Polson, MT 59860 2010-12-21
1942431473 Lisa L. Scalpane Counselor 803 Main Street, Suite C, Polson, MT 59860 2009-07-31
Find all providers in zip 59860

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811398290 Triva Bilile Pharmacist 1 7th Ave E Ste C, Polson, MT 59860-3202 2014-09-04
1205237690 Dawn Garrick Pharmacist 50331 Us Highway 93, Ste A, Polson, MT 59860-7046 2014-09-04
1215350061 Hemlata Shah Pharmacist 84 Miriam Way, Polson, MT 59860-4148 2014-01-30
1114248648 Suzanne T Cannady Pharmacist #5 4th Ave E, Polson, MT 59865 2010-06-18
1285241141 Travis Lee Miller Pharmacist 40770 Mt Highway 35, Polson, MT 59860-7745 2020-09-25
1982227443 Sarah Elizabeth Anderson Pharmacist 6 13th Ave E, Polson, MT 59860-5315 2020-05-19
1477039758 Vincent Blase Burt Pharmacist 36318 Memory Ln, Polson, MT 59860-7265 2018-07-19
1669986261 Terry L. Whitecotton Pharmacist 5 4th Ave E, Polson, MT 59860 2017-11-20
1437661113 Paige J Stone Pharmacist 6 13th Ave E, Polson, MT 59860-5315 2017-11-02
1114399490 David Paul Hebert Pharmacist 36318 Memory Ln, Polson, MT 59860-7265 2015-10-26
Find all providers in POLSON

Competitor

Search similar providers

City POLSON
Zip Code 59860

Improve Information

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Dataset Information

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.

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