406 RX PLLC (NPI# 1306495056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306495056 |
| Entity Type | Organization |
| Organization Name | 406 RX PLLC |
| Other Organization Name | KEYSTONE FAMILY PHARMACY |
| Practice Address |
407 Main St Deer Lodge MT 59722-1058 |
| Mailing Address |
Po Box 1469 Columbus MT 59019-1469 |
| Practice Telephone | 4068462120 |
| Practice Fax Number | 4068462348 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | JOSH FISHER (MEMBER/OWNER) |
| Authorized Official Telephone | 4062078043 |
| Is Organization Subpart | Y |
| Parent Organization Name | 406 RX PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| KEYSTONE FAMILY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1124584339 | 406 Rx Pllc | Pharmacy | 148 Main St, Roundup, MT 59072 | 2019-02-12 |
| Street Address |
407 MAIN ST |
| City | DEER LODGE |
| State | MT |
| Zip Code | 59722-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487741245 | Keystone Drug LLP | Pharmacist | 407 Main St, Deer Lodge, MT 59722-1058 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083937 | Summera Qamar | Family Medicine | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2011-07-11 |
| 1164453932 | Judith H Wilson | Legal Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-07-06 |
| 1700825478 | Powell County Ambulance Service Inc | Ambulance | 1101 Texas Ave, Deer Lodge, MT 59722 | 2006-06-06 |
| 1891159877 | Powell County Memorial Hospital Association Inc | General Acute Care Hospital | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2016-04-06 |
| 1891916318 | Kimberly J Stavlo | Speech-Language Pathologist | 310 Main Street, Deer Lodge, MT 59722 | 2007-05-01 |
| 1750393757 | Lori Lee Drumm | Family Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-08-12 |
| 1306262803 | Cottonwood Clinic, LLC | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2014-03-10 |
| 1750600375 | Deer Lodge Valley Therapy | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1000 | 2010-05-21 |
| 1043337140 | Heide Lynn Applegate | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2007-03-23 |
| 1477596161 | Debra Joan Miller | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2006-06-13 |
| Find all providers in zip 59722 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630662 | Pharm406 Inc | Pharmacy | 1410 38th St W Ste A, Billings, MT 59102-7552 | 2020-05-16 |
| 1710521679 | Billmont Rx, LLC | Pharmacy | 1603 Grand Ave Ste 250, Billings, MT 59102-3000 | 2019-11-04 |
| 1235636689 | Daniel Patrick Doran | Pharmacy | 590 Stockett Rd, Sand Coulee, MT 59472-9745 | 2018-04-11 |
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1679977433 | Superior Specialty Pharmacy of Montana, LLC | Pharmacy | 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 | 2014-10-22 |
| 1134439797 | Kc Western Drug | Pharmacy | 105 E 1st, Clyde Park, MT 59018-0000 | 2010-10-18 |
| 1669795647 | Broadus Foods, Inc | Pharmacy | 120 S Park Avenue, Broadus, MT 59317-0549 | 2010-03-05 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
| Find all providers with the same taxonomy | ||||
| City | DEER LODGE |
| Zip Code | 59722 |
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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.