VINCENT BLASE BURT (NPI# 1477039758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477039758 |
| Entity Type | Individual |
| Full Name | VINCENT BLASE BURT |
| Practice Address |
36318 Memory Ln Polson MT 59860-7265 |
| Practice Telephone | 4068839221 |
| Mailing Telephone | 4068839221 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHA-PHA-LIC-5488 | MT | Pharmacy Service Providers |
| Street Address |
36318 MEMORY LN |
| City | POLSON |
| State | MT |
| Zip Code | 59860-7265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772735 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 36318 Memory Ln, Polson, MT 59860-7265 | 2006-07-16 |
| 1194199950 | Midtown Optometry Pllc | Optometrist | 36318 Memory Ln, Polson, MT 59860-7265 | 2015-11-17 |
| 1114399490 | David Paul Hebert | Pharmacist | 36318 Memory Ln, Polson, MT 59860-7265 | 2015-10-26 |
| 1427420132 | Correena Streets | Pharmacist | 36318 Memory Ln, Polson, MT 59860-7265 | 2015-10-21 |
| 1912314113 | Vince Stone | Pharmacist | 36318 Memory Ln, Polson, MT 59860-7265 | 2014-07-20 |
| 1659626885 | Malgorzata Podraza | Optometrist | 36318 Memory Ln, Polson, MT 59860-7265 | 2012-07-13 |
| 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 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1427420132 | Correena Streets | Pharmacist | 36318 Memory Ln, Polson, MT 59860-7265 | 2015-10-21 |
| Find all providers in POLSON | ||||
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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.