Individual provider Active NPI

Marvin A. Eberling, RPH

  • Pharmacist
  • Plentywood, MT
National Provider Identifier
1003837592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3304 Issued in MT
Practice address
119 N Main St
Plentywood, MT 59254-1817
Phone
(406) 765-1810
Fax
(406) 765-1811
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3304 MT Primary

Addresses

Primary practice location

119 N Main St
Plentywood, MT 59254-1817

Mailing address

106 Dena St
Plentywood, MT 59254-2114
Phone (406) 765-2351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3304MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Plentywood Drug Inc. Current Accepting new patients

Locations

119 N Main St
Plentywood, MT 59254
Phone (406) 765-1810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003837592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DENA ST",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592542114",
            "telephone_number": "406-765-2351",
            "fax_number": "406-765-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N MAIN ST",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541817",
            "telephone_number": "406-765-1810",
            "fax_number": "406-765-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLING",
        "first_name": "MARVIN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.