Organization Active NPI

Rivers Edge Pharmacy Inc

Doing business as Ridgeway Pharmacy

  • Community/Retail Pharmacy
  • Stevensville, MT
National Provider Identifier
1043393861
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14912 Issued in MT
Legal business name
RIVERS EDGE PHARMACY INC
Doing business as
Ridgeway Pharmacy
Practice address
39 Stevensville Cutoff Rd
Stevensville, MT 59870-6496
Phone
(406) 777-4410
Fax
(406) 777-4192
NPI assigned
Oct 23, 2006
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Klinton Curtis, RPH
Title
Owner, Ao
Phone
(406) 777-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 14912 MT Primary

Addresses

Primary practice location

39 Stevensville Cutoff Rd
Stevensville, MT 59870-6496

Mailing address

39 Stevensville Cutoff Rd
Stevensville, MT 59870-6496
Phone (406) 777-4410

Other identifiers 1

IdentifierTypeStateIssuer
2051944OtherPK

Other names 1

  • RIDGEWAY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1043393861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 STEVENSVILLE CUTOFF RD",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706496",
            "telephone_number": "406-777-4410",
            "fax_number": "406-777-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 STEVENSVILLE CUTOFF RD",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706496",
            "telephone_number": "406-777-4410",
            "fax_number": "406-777-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KLINTON",
        "authorized_official_title_or_position": "OWNER, AO",
        "authorized_official_telephone_number": "406-777-4410",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "14912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGEWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.