POPLAR HEALTH CENTER PHARMACY (NPI# 1588791586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588791586 |
| Entity Type | Organization |
| Organization Name | POPLAR HEALTH CENTER PHARMACY |
| Other Organization Name | VERN E GIBBS HEALTH CENTER |
| Practice Address |
107 H St E Poplar MT 59255 |
| Mailing Address |
107 H St E Po Box 67 Poplar MT 59255 |
| Practice Telephone | 4067683491 |
| Practice Fax Number | 4067683603 |
| Mailing Telephone | 4067683491 |
| Mailing Fax Number | 4067683603 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA LARSEN (AREA BUSINESS OFFICE COORDINATOR) |
| Authorized Official Telephone | 4062477184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHARMACY DEA NUMBER | BV0407987 | 01 | |
| MT | 2210068 | 05 | |
| NCPCP NUMBER | 2705537 | 01 |
| Other Name | Type Code |
|---|---|
| Vern E Gibbs Health Center | Other Name - Individual/Organization |
| Street Address |
107 H ST E |
| City | POPLAR |
| State | MT |
| Zip Code | 59255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780767921 | John Spencer Studsrud | Pharmacist | 107 H St E, Poplar, MT 59255 | 2006-10-23 |
| 1962861146 | Kandi Svenningson | Registered Nurse | 107 H St E, Poplar, MT 59255 | 2016-02-17 |
| 1336270537 | Mary C. Mccormick | Dietitian, Registered | 107 H St E, Verne E Gibbs Ihs Clinic, Poplar, MT 59255 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| Find all providers in zip 59255 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007242 | Pryor Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Pryor Gap Rd, Pryor, MT 59066 | 2007-03-06 |
| 1669501649 | Lodge Grass Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Harding Ave, Lodge Grass, MT 59050 | 2007-03-05 |
| 1699801779 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59417 | 2007-02-26 |
| 1306972633 | Hays Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123 White Crow Rd, Hays, MT 59527 | 2007-02-23 |
| 1861528192 | Fort Belknap Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 456 Gros Ventre Ave, Rr1, Box 67, Harlem, MT 59526 | 2007-02-23 |
| 1952437287 | Crow Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 Highway and I-90 Intersection, Crow Agency, MT 59022 | 2007-02-23 |
| 1821123522 | Blackfeet Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 760 Hospital Cir, Browning, MT 59417 | 2007-02-22 |
| 1124403753 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59448-0080 | 2015-07-24 |
| 1316158280 | Rocky Boy Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2007-05-24 |
| 1588791594 | Wolf Point Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 550 6th Ave N, Wolf Point, MT 59201 | 2007-02-27 |
| 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.