Active NPI
Western Drug of Bozeman
- Community/Retail Pharmacy
- Bozeman, MT
National Provider Identifier
1003858887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1289
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049994 | Other | PK | |
| 0210158 | Medicaid | MT |
Other names 1
- WESTERN DRUG OF BOZEMAN
National Provider Directory
National Provider DirectoryLocations
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.