MONTANA CVS PHARMACY LLC (NPI# 1265602502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265602502 |
| Entity Type | Organization |
| Organization Name | MONTANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY#05305 |
| Practice Address |
307 Se 4th St Laurel MT 59044-3324 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4066288746 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| 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 |
|---|---|---|---|
| NCPDP | 2783353 | 01 | |
| MT | 1265602502 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY#05305 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053614370 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3095 N Montana Ave, Helena, MT 59601-0552 | 2010-12-08 |
| 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 |
307 SE 4TH ST |
| City | LAUREL |
| State | MT |
| Zip Code | 59044-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517204 | Aleesha Porter | Pharmacist | 307 Se 4th St, Laurel, MT 59044-3324 | 2020-04-26 |
| 1720531445 | Cvs | Pharmacy | 307 Se 4th St, Laurel, MT 59044-3324 | 2016-07-29 |
| 1861832388 | Carl Wallila | Pharmacist | 307 Se 4th St, Laurel, MT 59044-3324 | 2013-06-28 |
| 1073953998 | Jeannette Mickelson | Pharmacist | 307 Se 4th St, Laurel, MT 59044-3324 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
| 1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
| 1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
| 1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
| 1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
| 1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
| 1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
| 1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
| 1750339149 | Evergreen At Laurel, L.L.C. | Skilled Nursing Facility | 820 3rd Ave, Laurel, MT 59044-2023 | 2006-05-05 |
| Find all providers in zip 59044 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| 1225494974 | Pax Pharmacy LLC | Pharmacy | 9900 Washington Blvd N Ste G, Laurel, MD 20723-1972 | 2016-01-11 |
| 1740565357 | Anika Pharmacy Corp | Pharmacy | 13929 Baltimore Ave Ste 4, Laurel, MD 20707-5045 | 2011-10-14 |
| 1831410638 | Thomas Pharmacy Gardiner Center, LLC | Pharmacy | 2341 Hwy 15 North, Laurel, MS 39441-4111 | 2010-06-15 |
| 1396874178 | Wallace Drug Company Inc | Pharmacy | 520 N Magnolia St, Laurel, MS 39440-3559 | 2007-03-05 |
| 1841384245 | Snyders Western | Pharmacy | 209 S 1st Ave, Laurel, MT 59044-3305 | 2006-10-03 |
| 1134212574 | Read Discount Drug | Pharmacy | 1592 Highway 15 N Ste D, Ste D, Laurel, MS 39440-2122 | 2006-09-30 |
| 1053410431 | Medaccess Pharmacy Svc LLC | Pharmacy | 7350 Van Dusen Rd Ste 120, Laurel, MD 20707-5267 | 2006-09-21 |
| 1407951601 | Wells Discount Drugs Inc | Pharmacy | 725 Samill Rd, Laurel, MS 39440-3971 | 2006-09-13 |
| 1912932955 | Weis Markets Inc | Pharmacy | 9250 Baltimore-washington Blvd, Laurel, MD 20723 | 2006-07-11 |
| Find all providers in LAUREL | ||||
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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.