NPIMap

Individual provider Active NPI

Alan Gravning, RPH

  • Pharmacist
  • Thompson Falls, MT
National Provider Identifier
1033763305
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5183 Issued in MT
Practice address
1221 Main St
Thompson Falls, MT 59873-9355
Phone
(406) 827-4349
Fax
(406) 827-9640
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5183 MT Primary

Addresses

Primary practice location

1221 Main St
Thompson Falls, MT 59873-9355

Mailing address

PO Box 1059
Thompson Falls, MT 59873-1059
Phone (406) 827-4349

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
5183MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Falls Family Pharmacy, Inc PastSince Jul 28, 2019 Accepting new patients

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1033763305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598731059",
            "telephone_number": "406-827-4349",
            "fax_number": "406-827-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598739355",
            "telephone_number": "406-827-4349",
            "fax_number": "406-827-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVNING",
        "first_name": "ALAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "5183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompson Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.