DR. VINCENT J COLUCCI (NPI# 1902808819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902808819 |
| Entity Type | Individual |
| Full Name | DR. VINCENT J COLUCCI |
| Credential | PHARM.D., BCPS |
| Practice Address |
500 W Broadway St Missoula MT 59802-4003 |
| Mailing Address |
5190 Goodan Ln Missoula MT 59808-9076 |
| Practice Telephone | 4063297482 |
| Practice Fax Number | 4063297219 |
| Mailing Telephone | 4065495846 |
| Mailing Fax Number | 4062434353 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
2969 | MT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | DEA LICENSE | MC1145007 | 01 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679762603 | Mary B Mchugh | Pharmacist | 530 Canyon Gate Dr, Missoula, MT 59803-1602 | 2007-10-16 |
| 1720172703 | Kendra Ann Keeley | Pharmacist | 323 West Alder, Missoula, MT 59802 | 2006-10-03 |
| 1558323626 | Amanda Kay Patel | Pharmacist | 1003 E Broadway St, Eastgate Drug, Missoula, MT 59802-4971 | 2006-04-04 |
| 1902867518 | Larry A Dent | Pharmacist | University of Montana School of Pharmacy, 32 Campus Dr., #1522, Missoula, MT 59812-0001 | 2006-03-31 |
| 1134506967 | Amanda Moffett-frey | Pharmacist | 401 Railroad St W, Clinical Pharmacy, Missoula, MT 59802-4109 | 2015-04-30 |
| 1275683898 | Donna G Beall | Pharmacist | 32 Campus Dr, Skaggs School of Pharmacy, Missoula, MT 59812-0003 | 2007-01-12 |
| 1851386502 | Lee Ann Bradley | Pharmacist | 500 W Broadway St, Montana Spine Center, Missoula, MT 59802-4003 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275721128 | Dean T. Goroski | Pharmacist | 10110 S 7650th E, Crow/northern Cheyenne Hospital, Crow Agency, MT 59022 | 2007-10-04 |
| 1548501869 | Donald Brown | Pharmacist | 801 N 29th St, Billings, MT 59101-0905 | 2013-03-12 |
| 1407167141 | Steven K Rietz | Pharmacist | 1 Hospital Road, Usphs Indian Hospital Pharmacy, Crow Agency, MT 59022-0009 | 2010-06-28 |
| 1528397783 | Jessica Bowermaster | Pharmacist | 1 Hospital Rd, Crow Agency, MT 59022 | 2009-12-17 |
| 1659403871 | Zachary R Pool | Pharmacist | 1 Hospital Road, Crow Agency, MT 59022 | 2007-03-12 |
| 1346396843 | Randy Lee Kuiper | Pharmacist | 1101 26th St S, Great Falls, MT 59405-5161 | 2007-01-26 |
| 1619041548 | John K.h. Griffith | Pharmacist | 300 N Willson Ave, 1002, Bozeman, MT 59715-3551 | 2006-11-20 |
| 1326020066 | Paul Edward Brand | Pharmacist | 5549 Old Hwy 93, Florence, MT 59833-6564 | 2005-11-17 |
| 1467454207 | Kyle H Townsend | Pharmacist | 2800 10th Ave N, Billings, MT 59101-0703 | 2005-08-11 |
Please comment or provide details below to improve the information on DR. VINCENT J COLUCCI.
| 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.