Organization Active NPI

Timber Ridge Pharmacy

  • Long Term Care Pharmacy
  • Hamilton, MT
National Provider Identifier
1003841016
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1097 Issued in MT
Legal business name
TIMBER RIDGE PHARMACY
Practice address
1131 N 1St St
Hamilton, MT 59840-2150
Phone
(406) 363-9003
Fax
(406) 363-9005
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Lans Richardson IV
Title
Owner/Pharmacy Tech
Phone
(406) 363-9003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X 1097 MT Primary

Addresses

Primary practice location

1131 N 1St St
Hamilton, MT 59840-2150

Mailing address

1131 N 1St St
Hamilton, MT 59840-2150
Phone (406) 363-9003

Other identifiers 2

IdentifierTypeStateIssuer
5607030MedicaidMT
0213408MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Timber Ridge Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1003841016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402150",
            "telephone_number": "406-363-9003",
            "fax_number": "406-363-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402150",
            "telephone_number": "406-363-9003",
            "fax_number": "406-363-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER RIDGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LANS",
        "authorized_official_title_or_position": "OWNER/PHARMACY TECH",
        "authorized_official_telephone_number": "406-363-9003",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MT",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5607030",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213408",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.