Organization Active NPI

Western Drug of Bozeman

  • Community/Retail Pharmacy
  • Bozeman, MT
National Provider Identifier
1003858887
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1289 Issued in MT
Legal business name
WESTERN DRUG OF BOZEMAN
Doing business as
Western Drug of Bozeman
Practice address
200 Highland Blvd
Bozeman, MT 59715
Phone
(406) 587-3145
Fax
(406) 587-0603
NPI assigned
Jun 13, 2006
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Brian Westberg, RPH
Title
Owner/Pharmacist
Phone
(406) 587-3145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1289 MT Primary

Addresses

Primary practice location

200 Highland Blvd
Bozeman, MT 59715

Mailing address

PO Box 488
Bozeman, MT 59771-0488
Phone (406) 587-3145

Other identifiers 2

IdentifierTypeStateIssuer
2049994OtherPK
0210158MedicaidMT

Other names 1

  • WESTERN DRUG OF BOZEMAN Doing business as

National Provider Directory

National Provider Directory

Locations

200 Highland Blvd
Bozeman, MT 59715
Phone (406) 587-3145

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1003858887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597710488",
            "telephone_number": "406-587-3145",
            "fax_number": "406-587-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-3145",
            "fax_number": "406-587-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DRUG OF BOZEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "WESTBERG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "406-587-3145",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049994",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210158",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN DRUG OF BOZEMAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WESTERN DRUG OF BOZEMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.