Organization Active NPI

Medical Arts Pharmacy of Kalispell LTD

  • Community/Retail Pharmacy
  • Kalispell, MT
National Provider Identifier
1053415562
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
836 Issued in MT
Legal business name
MEDICAL ARTS PHARMACY OF KALISPELL LTD
Practice address
209 Conway Dr
Kalispell, MT 59901-3111
Phone
(406) 752-2492
NPI assigned
Sep 13, 2006
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Holly Ford
Title
Owner/Phar. Tech
Phone
(406) 752-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 836 MT Primary

Addresses

Primary practice location

209 Conway Dr
Kalispell, MT 59901-3111

Mailing address

209 Conway Dr
Kalispell, MT 59901-3111
Phone (406) 752-2492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1053415562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CONWAY DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013111",
            "telephone_number": "406-752-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CONWAY DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013111",
            "telephone_number": "406-752-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY OF KALISPELL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/PHAR. TECH",
        "authorized_official_telephone_number": "406-752-2492"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.