Active NPI
Alexander Vladimirovich Chinikaylo
- Pharmacist
- Missoula, MT
National Provider Identifier
1053973701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62600
- Practice address
- 2100 Brooks St
Missoula, MT 59801-6649 - Phone
- (406) 728-2089
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62600 | MT | Primary |
Addresses
Primary practice location
2100 Brooks St
Missoula, MT 59801-6649
Mailing address
2100 Brooks St
Missoula, MT 59801-6649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62600 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2100 Brooks St
Missoula, MT 59801
Phone (406) 728-2089
Organizations & group practices 2
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.
-
- Pharmacy
- Missoula, MT
- NPI 1790800399
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1053973701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 BROOKS ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BROOKS ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016649",
"telephone_number": "406-728-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINIKAYLO",
"first_name": "ALEXANDER",
"middle_name": "VLADIMIROVICH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "62600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
- Christen Michelle Cheviron
- Child Development Center, Inc
- Child Development Center, Inc
- Children'S Dentistry of the Rockies
- Kevin Matthew Chin, D.O.
- Roman Mikhaylovich Chinikaylo, PHARMD
- Jessica Ingrid Chiovaro, PHYSICAL THERAPIST
- Chiropractic Associates of Missoula LLC
- Chiropractic Works Inc.
- Madison M W Chisholm
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.