Gary and Leos Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GARY AND LEOS INC

Practice address

730 1St St
Havre, MT 59501-3702

Phone

(406) 265-1229

Fax

(406) 265-3256

NPI assigned

Oct 1, 2021

Organization subpart

Yes

Parent organization

GARY AND LEO'S INC.As reported in NPPES

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

Authorized official

Name

Laura Lee Malisani

Title

Treasurer

Phone

(406) 265-1404

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Gary & Leo's Pharmacy Doing business as
• Gary & Leo's Pharmacy LTC Other name

Tax ID family

Gary and Leos Inc2 organizations share this tax ID, including this one

Part of

Gary and Leos Inc

Other organizations with this tax ID 1

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

• Gary and Leos Inc

  • Community/Retail Pharmacy
  • Havre, MT
  • NPI 1679746549
  NPD tax ID

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1013689660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 1ST ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013702",
            "telephone_number": "406-265-1229",
            "fax_number": "406-265-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 1ST ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013702",
            "telephone_number": "406-265-1229",
            "fax_number": "406-265-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY AND LEOS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY AND LEO'S INC.",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MALISANI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "406-265-1404"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679746549",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary & Leo's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gary & Leo's Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry Wayne Fangsrud, RPH
• Erica Farmer, O.D.
• Michael Benjamin Farr, D.O.
• Kelley D Ferguson, LCPC
• Courtney L Funderburk
• Gary and Leos Inc
• Misty Geer, LCPC, LAC
• Gibson Chiropractic, Inc.
• Donald Joshua Gibson, D.C.
• Hugo Michael Gibson, D.C.

• Community/Retail Pharmacy in Havre, MT
• Providers in Havre, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.