Huston Healthcare LLC
Organization Active NPI Pharmacy · Whitefish, MT
NPI 1003338765 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1003338765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- HUSTON HEALTHCARE LLC
- Practice address
- 1111 Baker Ave
Whitefish, MT 59937-2901 - Phone
- (406) 862-7070
- Fax
- (406) 862-7088
- NPI assigned
- Jul 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Matthew James Huston, PHARMD
- Title
- Owner
- Phone
- (406) 459-5254
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Matthew James Huston, PHARM D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200505001072 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547691644 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Whitefish, MT |
National Provider Directory
Locations
1111 Baker Ave
Ste 101
Whitefish, MT 59937
Phone (406) 862-7070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1111 Baker Ave
Whitefish, MT 59937-2901
Mailing address
154 Mannington St
Kalispell, MT 59901-8842
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0545190 | Medicaid | MT |
Other names
- Whitefish Pharmacy
Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.